Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $25.56 / $39.86	Facility		$23.00	$25.56	$39.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $25.56 / $40.36	Professional		$21.53	$25.56	$40.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.83 / $30.70 / $53.45	Facility		$21.83	$30.70	$53.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $20.18 / $21.59	Professional		$19.17	$20.18	$21.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Facility		$27.99	$27.99	$27.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $24.44 / $60.55	Professional		$12.09	$24.44	$60.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $25.56 / $46.97	Facility		$23.00	$25.56	$46.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $25.56 / $40.36	Professional		$23.00	$25.56	$40.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $24.50 / $40.10	Professional		$22.28	$24.50	$40.10
United Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $26.11 / $34.33	Professional		$16.14	$26.11	$34.33