Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.07 / $33.07 / $51.59	Facility		$33.07	$33.07	$51.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $33.07 / $52.21	Professional		$29.94	$33.07	$52.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.24 / $39.72 / $69.16	Facility		$28.24	$39.72	$69.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $26.11 / $27.94	Professional		$24.80	$26.11	$27.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.20 / $36.20 / $36.20	Facility		$36.20	$36.20	$36.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $26.27 / $78.31	Professional		$17.59	$26.27	$78.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.42 / $33.07 / $60.77	Facility		$31.42	$33.07	$60.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $42.78 / $54.61	Professional		$31.33	$42.78	$54.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $31.70 / $51.87	Professional		$28.82	$31.70	$51.87
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $44.07 / $69.62	Professional		$20.89	$44.07	$69.62