Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $22.37 / $353.08	Facility		$22.37	$22.37	$353.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $20.07 / $23.48	Professional		$9.00	$20.07	$23.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.63 / $88.60 / $168.40	Facility		$42.63	$88.60	$168.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $30.56 / $38.19	Professional		$27.91	$30.56	$38.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $39.65 / $48.48	Facility		$29.38	$39.65	$48.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $38.19 / $68.12	Professional		$30.85	$38.19	$68.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $15.00 / $42.66	Professional		$14.51	$15.00	$42.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $353.08	Facility		$21.23	$21.23	$353.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $21.23 / $35.25	Professional		$17.64	$21.23	$35.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $16.68 / $26.11	Professional		$14.51	$16.68	$26.11
United Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $13.79 / $23.02	Professional		$10.38	$13.79	$23.02