Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.52 / $48.15 / $98.91	Facility		$38.52	$48.15	$98.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $38.52 / $44.66	Professional		$31.28	$38.52	$44.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $46.27 / $80.55	Facility		$33.09	$46.27	$80.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $30.41 / $32.54	Professional		$28.89	$30.41	$32.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $60.22 / $99.10	Facility		$40.54	$60.22	$99.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $50.69 / $54.74	Professional		$40.54	$50.69	$54.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $28.85 / $61.95	Professional		$20.58	$28.85	$61.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $38.52 / $89.76	Facility		$36.59	$38.52	$89.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $43.99 / $54.92	Professional		$38.52	$43.99	$54.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $36.93 / $60.44	Professional		$33.58	$36.93	$60.44
United Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $24.33 / $47.76	Professional		$17.03	$24.33	$47.76