Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $30.22 / $30.22	Facility		$30.22	$30.22	$30.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $30.22 / $30.22	Professional		$21.70	$30.22	$30.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.06 / $119.66 / $217.94	Facility		$60.06	$119.66	$217.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $39.68 / $53.57	Professional		$37.70	$39.68	$53.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.79 / $25.79 / $25.79	Facility		$25.79	$25.79	$25.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $31.74 / $31.74	Professional		$31.74	$31.74	$31.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $19.37 / $19.95	Facility		$19.37	$19.37	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $19.37 / $32.99	Professional		$16.46	$19.37	$32.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $28.67 / $30.22	Facility		$28.67	$28.67	$30.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $30.22 / $44.63	Professional		$23.83	$30.22	$44.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $19.05 / $26.68	Professional		$15.24	$19.05	$26.68
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.63 / $28.04	Professional		$13.18	$18.63	$28.04