Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.68 / $25.83 / $28.06	Facility		$25.68	$25.83	$28.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $28.06 / $28.06	Professional		$19.36	$28.06	$28.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.78 / $112.11 / $202.39	Facility		$55.78	$112.11	$202.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $36.85 / $49.75	Professional		$35.01	$36.85	$49.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $23.95 / $23.95	Facility		$23.95	$23.95	$23.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $29.48 / $29.48	Professional		$29.48	$29.48	$29.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $22.13 / $22.13	Facility		$18.29	$22.13	$22.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $22.13 / $30.64	Professional		$17.48	$22.13	$30.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.68 / $26.64 / $28.05	Facility		$25.68	$26.64	$28.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $28.06 / $38.69	Professional		$22.14	$28.06	$38.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $17.48 / $24.47	Professional		$13.98	$17.48	$24.47
United Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $17.32 / $26.04	Professional		$12.24	$17.32	$26.04