Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $40.26 / $116.80	Facility		$40.26	$40.26	$116.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $40.26 / $41.11	Professional		$36.45	$40.26	$41.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.38 / $48.37 / $84.21	Facility		$34.38	$48.37	$84.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $31.79 / $34.02	Professional		$30.20	$31.79	$34.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.08 / $44.08 / $44.08	Facility		$44.08	$44.08	$44.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $28.63 / $95.36	Professional		$21.41	$28.63	$95.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $40.26 / $73.98	Facility		$38.25	$40.26	$73.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $46.35 / $62.81	Professional		$38.14	$46.35	$62.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $38.59 / $63.16	Professional		$35.09	$38.59	$63.16
United Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $47.49 / $62.91	Professional		$25.43	$47.49	$62.91