Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.38 / $43.38 / $43.38	Facility		$43.38	$43.38	$43.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $43.38 / $43.38	Professional		$31.42	$43.38	$43.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.23 / $171.80 / $312.89	Facility		$86.23	$171.80	$312.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $56.97 / $76.91	Professional		$54.12	$56.97	$76.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $32.25 / $37.03	Facility		$32.25	$32.25	$37.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $45.58 / $45.58	Professional		$45.58	$45.58	$45.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $40.26 / $82.50	Professional		$23.24	$40.26	$82.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.16 / $41.16 / $43.38	Facility		$41.16	$41.16	$43.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $43.38 / $65.51	Professional		$36.15	$43.38	$65.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $48.42	Professional		$30.00	$30.00	$48.42
United Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $26.75 / $40.76	Professional		$20.13	$26.75	$40.76