Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $40.70 / $686.27	Facility		$20.35	$40.70	$686.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $25.62 / $137.72	Professional		$20.35	$25.62	$137.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $24.45 / $42.57	Facility		$17.38	$24.45	$42.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $16.07 / $17.19	Professional		$15.27	$16.07	$17.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $25.70 / $51.41	Facility		$21.42	$25.70	$51.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $26.78 / $28.92	Professional		$21.42	$26.78	$28.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $19.29 / $48.20	Professional		$10.90	$19.29	$48.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $33.78 / $360.19	Facility		$19.32	$33.78	$360.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $20.35 / $35.61	Professional		$19.27	$20.35	$35.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $19.51 / $31.93	Professional		$17.73	$19.51	$31.93
United Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $20.22 / $32.77	Professional		$12.68	$20.22	$32.77