Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $49.11 / $310.05	Facility		$29.10	$49.11	$310.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $37.71 / $55.97	Professional		$24.73	$37.71	$55.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $127.51 / $289.99	Facility		$92.61	$127.51	$289.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $36.35 / $49.07	Professional		$5.69	$36.35	$49.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $27.82 / $50.76	Facility		$23.13	$27.82	$50.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $44.02 / $65.76	Professional		$42.02	$44.02	$65.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $29.33 / $98.01	Professional		$17.18	$29.33	$98.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $49.60 / $268.45	Facility		$29.10	$49.60	$268.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $41.28 / $61.87	Professional		$29.10	$41.28	$61.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $67.86 / $95.12	Professional		$54.68	$67.86	$95.12
United Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $38.04 / $44.75	Professional		$32.90	$38.04	$44.75