Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.76 / $49.70 / $194.75	Facility		$24.76	$49.70	$194.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $24.77 / $25.45	Professional		$21.38	$24.77	$25.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $29.49 / $51.79	Facility		$20.48	$29.49	$51.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $19.55 / $26.39	Professional		$13.29	$19.55	$26.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $26.07 / $63.71	Facility		$19.55	$26.07	$63.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $16.95 / $26.07	Professional		$16.95	$16.95	$26.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $30.15 / $37.69	Professional		$12.25	$30.15	$37.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $45.51 / $262.02	Facility		$24.27	$45.51	$262.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $24.77 / $32.58	Professional		$12.63	$24.77	$32.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $21.58 / $29.13	Professional		$19.42	$21.58	$29.13
United Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $8.23 / $16.68	Professional		$5.82	$8.23	$16.68