Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $50.96 / $118.83	Facility		$33.34	$50.96	$118.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $33.34 / $52.63	Professional		$22.81	$33.34	$52.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $40.04 / $69.72	Facility		$28.47	$40.04	$69.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $26.32 / $28.16	Professional		$25.00	$26.32	$28.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $52.12 / $95.28	Facility		$35.09	$52.12	$95.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $43.86 / $47.37	Professional		$35.09	$43.86	$47.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $38.99 / $78.95	Professional		$17.82	$38.99	$78.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $42.00 / $110.97	Facility		$31.67	$42.00	$110.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $42.10 / $53.73	Professional		$28.75	$42.10	$53.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $31.95 / $52.29	Professional		$29.05	$31.95	$52.29
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $28.88 / $49.04	Professional		$14.74	$28.88	$49.04