Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $42.57 / $50.08	Facility		$37.20	$42.57	$50.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $44.88 / $56.45	Professional		$32.67	$44.88	$56.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $77.47 / $98.82	Professional		$62.56	$77.47	$98.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $35.42 / $79.06	Facility		$28.28	$35.42	$79.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $55.46 / $55.46	Professional		$55.46	$55.46	$55.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $60.58 / $102.66	Professional		$60.58	$60.58	$102.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $49.04 / $57.71	Professional		$37.20	$49.04	$57.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $31.54 / $39.56	Professional		$20.49	$31.54	$39.56
United Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $58.58 / $69.48	Professional		$48.85	$58.58	$69.48