Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.66 / $29.04 / $383.52	Facility		$27.66	$29.04	$383.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $26.66 / $33.70	Professional		$15.84	$26.66	$33.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.34 / $56.93 / $72.00	Facility		$40.34	$56.93	$72.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $63.00 / $90.00	Professional		$34.68	$63.00	$90.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $29.51 / $52.16	Facility		$15.00	$29.51	$52.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $39.99 / $45.14	Professional		$34.77	$39.99	$45.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $65.00 / $65.00	Facility		$53.50	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $55.29 / $113.94	Professional		$30.31	$55.29	$113.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.66 / $44.68 / $392.50	Facility		$27.66	$44.68	$392.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $33.59 / $48.33	Professional		$24.33	$33.59	$48.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $33.09 / $46.52	Professional		$27.05	$33.09	$46.52
United Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $35.78 / $43.95	Professional		$32.18	$35.78	$43.95