Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.95 / $35.78 / $56.36	Facility		$33.95	$35.78	$56.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $33.95 / $38.11	Professional		$29.31	$33.95	$38.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.08 / $40.43 / $71.02	Facility		$28.08	$40.43	$71.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $26.81 / $36.19	Professional		$18.23	$26.81	$36.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.81 / $35.74 / $87.34	Facility		$26.81	$35.74	$87.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $23.23 / $35.74	Professional		$23.23	$23.23	$35.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $40.89 / $51.11	Professional		$20.59	$40.89	$51.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $33.95 / $59.41	Facility		$17.98	$33.95	$59.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $32.25 / $42.88	Professional		$17.98	$32.25	$42.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $29.60 / $39.96	Professional		$26.64	$29.60	$39.96
United Facility/Professional Facility Modifier Low / Median / High Price $15.01 / $32.17 / $42.89	Facility		$15.01	$32.17	$42.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $11.62 / $21.44	Professional		$8.28	$11.62	$21.44