Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $33.34 / $52.01	Facility		$33.34	$33.34	$52.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $33.34 / $46.17	Professional		$30.00	$33.34	$46.17
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 / $33.34 / $61.26	Facility		$31.67	$33.34	$61.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $46.17 / $52.64	Professional		$31.58	$46.17	$52.64
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 / $21.53 / $49.04	Professional		$14.74	$21.53	$49.04