Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $26.19 / $26.19	Facility		$26.19	$26.19	$26.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $26.19 / $26.19	Professional		$18.98	$26.19	$26.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $103.74 / $188.94	Facility		$52.07	$103.74	$188.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $34.40 / $46.44	Professional		$32.68	$34.40	$46.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $22.36 / $22.36	Facility		$22.36	$22.36	$22.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $27.52 / $27.52	Professional		$27.52	$27.52	$27.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $20.66 / $20.66	Facility		$20.66	$20.66	$20.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $21.28 / $28.60	Professional		$18.32	$21.28	$28.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.85 / $24.85 / $26.19	Facility		$24.85	$24.85	$26.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $26.19 / $38.69	Professional		$20.95	$26.19	$38.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.24 / $21.56 / $29.24	Professional		$17.24	$21.56	$29.24
United Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $16.14 / $24.31	Professional		$11.42	$16.14	$24.31