Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $27.88 / $98.42	Facility		$26.49	$27.88	$98.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $26.60 / $34.28	Professional		$25.20	$26.60	$34.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $25.17 / $43.79	Facility		$17.86	$25.17	$43.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $44.62 / $50.24	Professional		$17.95	$44.62	$50.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $29.35 / $79.69	Facility		$22.01	$29.35	$79.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $19.07 / $29.35	Professional		$19.07	$19.07	$29.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $34.72 / $44.91	Professional		$26.79	$34.72	$44.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $29.27 / $98.42	Facility		$26.49	$29.27	$98.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $35.22 / $51.79	Professional		$25.57	$35.22	$51.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $15.24 / $32.81	Professional		$10.16	$15.24	$32.81
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $22.48 / $23.83	Professional		$12.33	$22.48	$23.83