Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $38.99 / $45.87	Facility		$34.15	$38.99	$45.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $45.53 / $57.72	Professional		$29.98	$45.53	$57.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $84.83 / $90.76	Professional		$62.69	$84.83	$90.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.89 / $27.73 / $79.54	Facility		$25.89	$27.73	$79.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.81 / $50.81 / $50.81	Professional		$50.81	$50.81	$50.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $47.05 / $94.16	Professional		$47.05	$47.05	$94.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $45.87 / $57.72	Professional		$34.15	$45.87	$57.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $31.54 / $37.11	Professional		$20.49	$31.54	$37.11
United Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $57.83 / $69.48	Professional		$49.16	$57.83	$69.48