Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.71 / $32.71 / $51.03	Facility		$32.71	$32.71	$51.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $32.71 / $35.38	Professional		$29.61	$32.71	$35.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $39.28 / $68.39	Facility		$27.93	$39.28	$68.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $25.82 / $27.63	Professional		$24.53	$25.82	$27.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.81 / $35.81 / $35.81	Facility		$35.81	$35.81	$35.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $27.17 / $77.47	Professional		$17.50	$27.17	$77.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.07 / $32.71 / $60.10	Facility		$31.07	$32.71	$60.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $45.84 / $58.52	Professional		$30.99	$45.84	$58.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $31.36 / $51.31	Professional		$28.51	$31.36	$51.31
United Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $30.99 / $41.32	Facility		$14.46	$30.99	$41.32
United Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $44.76 / $59.68	Professional		$20.66	$44.76	$59.68