Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.45 / $34.45 / $34.45	Facility		$34.45	$34.45	$34.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $34.45 / $34.45	Professional		$24.93	$34.45	$34.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $45.26 / $45.26	Facility		$45.26	$45.26	$45.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $45.26 / $61.10	Professional		$43.00	$45.26	$61.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.42 / $29.42 / $29.42	Facility		$29.42	$29.42	$29.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $36.21 / $36.21	Professional		$36.21	$36.21	$36.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $29.14 / $29.14	Facility		$29.14	$29.14	$29.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $29.14 / $52.50	Professional		$23.32	$29.14	$52.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.52 / $31.52 / $34.45	Facility		$31.52	$31.52	$34.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $34.45 / $49.96	Professional		$26.08	$34.45	$49.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $33.49 / $38.51	Professional		$28.46	$33.49	$38.51
United Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $30.38 / $31.10	Facility		$20.04	$30.38	$31.10
United Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $20.79 / $31.98	Professional		$15.99	$20.79	$31.98