Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $27.76 / $43.31	Facility		$27.76	$27.76	$43.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $27.76 / $27.76	Professional		$24.25	$27.76	$27.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $33.35 / $58.06	Facility		$23.85	$33.35	$58.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $21.92 / $23.45	Professional		$20.82	$21.92	$23.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $43.40 / $71.41	Facility		$29.22	$43.40	$71.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $36.53 / $39.45	Professional		$29.22	$36.53	$39.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $17.01 / $44.40	Professional		$13.19	$17.01	$44.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $27.76 / $51.01	Facility		$26.37	$27.76	$51.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $27.76 / $36.25	Professional		$24.84	$27.76	$36.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $26.62 / $43.56	Professional		$24.20	$26.62	$43.56
United Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $17.53 / $29.22	Professional		$12.27	$17.53	$29.22