Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.80 / $39.75 / $99.29	Facility		$31.80	$39.75	$99.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $31.80 / $50.20	Professional		$25.79	$31.80	$50.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.31 / $38.19 / $66.48	Facility		$27.31	$38.19	$66.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $25.10 / $26.86	Professional		$23.85	$25.10	$26.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $34.81 / $34.81	Facility		$34.81	$34.81	$34.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $32.18 / $75.31	Professional		$15.85	$32.18	$75.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $33.39 / $99.29	Facility		$30.21	$33.39	$99.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $33.42 / $50.20	Professional		$28.78	$33.42	$50.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $30.48 / $49.87	Professional		$27.71	$30.48	$49.87
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $34.24 / $45.37	Professional		$20.07	$34.24	$45.37