Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $26.33 / $179.09	Facility		$23.36	$26.33	$179.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $22.10 / $28.29	Professional		$18.30	$22.10	$28.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.37 / $29.21 / $31.37	Facility		$23.37	$29.21	$31.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $31.37 / $39.21	Professional		$23.37	$31.37	$39.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $20.19 / $28.27	Facility		$15.03	$20.19	$28.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $27.26 / $52.58	Professional		$22.68	$27.26	$52.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $19.00 / $53.97	Professional		$16.00	$19.00	$53.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $23.20 / $23.20 / $179.09	Facility		$23.20	$23.20	$179.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $23.36 / $30.51	Professional		$19.46	$23.36	$30.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $33.67 / $49.36	Professional		$27.57	$33.67	$49.36
United Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $25.31 / $32.34	Professional		$19.01	$25.31	$32.34