Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $37.70	Facility		$37.70	$37.70	$37.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $37.70 / $38.33	Professional		$26.07	$37.70	$38.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.04 / $179.04 / $234.45	Facility		$179.04	$179.04	$234.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $36.61 / $65.91	Professional		$4.88	$36.61	$65.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $25.84 / $33.27	Facility		$3.17	$25.84	$33.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $29.30 / $42.40	Professional		$3.90	$29.30	$42.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $30.64 / $40.22	Facility		$30.64	$30.64	$40.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $34.90 / $54.00	Professional		$34.90	$34.90	$54.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $37.70 / $53.00	Professional		$4.88	$37.70	$53.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $21.63 / $34.90	Professional		$2.86	$21.63	$34.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $24.46 / $37.92	Professional		$17.10	$24.46	$37.92