Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.94 / $36.94 / $36.94	Facility		$36.94	$36.94	$36.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $35.14 / $36.94	Professional		$24.66	$35.14	$36.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.36 / $169.36 / $221.77	Facility		$169.36	$169.36	$221.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $43.87 / $46.76	Professional		$4.62	$43.87	$46.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $27.70 / $35.65	Facility		$3.00	$27.70	$35.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $27.71 / $45.46	Professional		$3.70	$27.71	$45.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $29.99 / $39.36	Facility		$29.99	$29.99	$39.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $35.64 / $39.36	Professional		$29.99	$35.64	$39.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $36.94 / $56.82	Professional		$4.62	$36.94	$56.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $22.09 / $35.64	Professional		$2.91	$22.09	$35.64
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $20.36 / $33.59	Facility		$2.45	$20.36	$33.59
United Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $24.49 / $34.17	Professional		$16.43	$24.49	$34.17