Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $29.99 / $29.99	Facility		$29.99	$29.99	$29.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $29.99 / $29.99	Professional		$21.73	$29.99	$29.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.61 / $118.75 / $216.29	Facility		$59.61	$118.75	$216.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $39.38 / $53.16	Professional		$37.40	$39.38	$53.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $25.60 / $25.60	Facility		$25.60	$25.60	$25.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $31.50 / $31.50	Professional		$31.50	$31.50	$31.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $26.85	Facility		$26.07	$26.07	$26.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $26.07 / $45.75	Professional		$16.07	$26.07	$45.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $28.46 / $29.99	Facility		$28.46	$28.46	$29.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.99 / $44.31	Professional		$23.99	$29.99	$44.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $24.71 / $33.47	Professional		$19.76	$24.71	$33.47
United Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $18.50 / $28.19	Professional		$13.08	$18.50	$28.19