Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $47.90 / $119.71	Facility		$35.40	$47.90	$119.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $31.83 / $51.18	Professional		$30.59	$31.83	$51.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $42.52 / $74.04	Facility		$30.23	$42.52	$74.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $27.95 / $29.91	Professional		$26.55	$27.95	$29.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $55.36 / $95.28	Facility		$37.27	$55.36	$95.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $46.59 / $50.31	Professional		$37.27	$46.59	$50.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $28.85 / $56.79	Professional		$18.92	$28.85	$56.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $47.90 / $117.22	Facility		$35.40	$47.90	$117.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $46.73 / $63.35	Professional		$31.35	$46.73	$63.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $33.94 / $55.54	Professional		$30.86	$33.94	$55.54
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $28.72 / $47.87	Professional		$15.65	$28.72	$47.87