Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $65.12 / $167.08	Facility		$21.81	$65.12	$167.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $20.90 / $24.53	Professional		$8.82	$20.90	$24.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.35 / $86.37 / $157.30	Facility		$43.35	$86.37	$157.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.21 / $28.64 / $38.65	Professional		$27.21	$28.64	$38.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $18.62 / $18.69	Facility		$18.12	$18.62	$18.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $23.24 / $33.38	Professional		$12.25	$23.24	$33.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $65.12 / $167.08	Facility		$20.69	$65.12	$167.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $21.81 / $30.07	Professional		$17.09	$21.81	$30.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $16.98 / $24.34	Professional		$14.43	$16.98	$24.34
United Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $13.45 / $20.23	Professional		$9.98	$13.45	$20.23