Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.62 / $58.74 / $227.30	Facility		$29.62	$58.74	$227.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $29.62 / $29.62	Professional		$20.98	$29.62	$29.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $7.04 / $11.92	Facility		$5.01	$7.04	$11.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $4.50 / $6.08	Professional		$3.06	$4.50	$6.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $22.40 / $57.50	Facility		$18.18	$22.40	$57.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $14.56 / $24.24	Professional		$14.56	$14.56	$24.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $29.74 / $37.18	Professional		$13.88	$29.74	$37.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $37.03 / $251.08	Facility		$26.66	$37.03	$251.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $26.66 / $40.89	Professional		$20.98	$26.66	$40.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $7.89 / $7.89	Professional		$5.26	$7.89	$7.89
United Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $14.90 / $21.87	Professional		$10.87	$14.90	$21.87