Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $46.20 / $352.45	Facility		$36.65	$46.20	$352.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.94 / $36.65	Professional		$20.89	$23.94	$36.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $20.69 / $36.34	Facility		$14.37	$20.69	$36.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.72 / $18.52	Professional		$9.33	$13.72	$18.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $27.70 / $71.11	Facility		$22.49	$27.70	$71.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $29.98	Professional		$18.01	$18.01	$29.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $36.76 / $45.95	Professional		$13.82	$36.76	$45.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $57.19 / $243.50	Facility		$35.11	$57.19	$243.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.19 / $50.42	Professional		$20.89	$30.19	$50.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $13.72 / $20.58	Professional		$12.34	$13.72	$20.58
United Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $18.95 / $27.72	Professional		$12.13	$18.95	$27.72