Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $25.42 / $26.69	Facility		$25.42	$25.42	$26.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $23.67 / $30.92	Professional		$14.98	$23.67	$30.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $51.89 / $66.44	Facility		$36.77	$51.89	$66.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $63.00 / $90.00	Professional		$32.08	$63.00	$90.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $27.00 / $47.57	Facility		$15.00	$27.00	$47.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $36.47 / $41.20	Professional		$31.71	$36.47	$41.20
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 $24.72 / $49.05 / $111.17	Professional		$24.72	$49.05	$111.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $27.28 / $36.61	Facility		$25.42	$27.28	$36.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $27.28 / $39.21	Professional		$19.85	$27.28	$39.21
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 $26.49 / $30.37 / $35.24	Professional		$26.49	$30.37	$35.24