Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $42.13 / $105.33	Facility		$40.00	$42.13	$105.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $84.26	Professional		$42.13	$42.13	$84.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $39.39 / $39.39	Facility		$39.39	$39.39	$39.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.42 / $39.39 / $53.18	Professional		$37.42	$39.39	$53.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $42.13 / $98.34	Facility		$31.60	$42.13	$98.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $27.38 / $42.13	Professional		$27.38	$27.38	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $48.40 / $60.50	Professional		$22.45	$48.40	$60.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $42.13 / $77.41	Facility		$40.00	$42.13	$77.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $56.06	Professional		$42.13	$42.13	$56.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $34.89 / $47.10	Professional		$31.40	$34.89	$47.10
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $25.28 / $26.96	Professional		$17.69	$25.28	$26.96