Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $24.01 / $24.01	Facility		$24.01	$24.01	$24.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $24.01 / $24.01	Professional		$17.27	$24.01	$24.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.73 / $95.93 / $173.18	Facility		$47.73	$95.93	$173.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $31.53 / $42.57	Professional		$29.95	$31.53	$42.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.34 / $20.34 / $20.49	Facility		$20.34	$20.34	$20.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $25.22 / $25.22	Professional		$25.22	$25.22	$25.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $18.95 / $18.95	Facility		$18.95	$18.95	$18.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $20.98 / $36.38	Professional		$18.95	$20.98	$36.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $24.01 / $30.26	Facility		$22.80	$24.01	$30.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $24.01 / $35.46	Professional		$20.30	$24.01	$35.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $26.80 / $30.00	Professional		$14.64	$26.80	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.81 / $22.58	Professional		$10.47	$14.81	$22.58