Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.35 / $61.35 / $61.35	Facility		$61.35	$61.35	$61.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $58.60 / $61.35	Professional		$41.44	$58.60	$61.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.62 / $284.62 / $372.71	Facility		$284.62	$284.62	$372.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $55.30 / $104.77	Professional		$7.37	$55.30	$104.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $44.71 / $59.62	Facility		$5.04	$44.71	$59.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $46.57 / $73.38	Professional		$6.21	$46.57	$73.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $48.02 / $48.02	Facility		$48.02	$48.02	$48.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $56.29 / $66.75	Professional		$48.02	$56.29	$66.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $61.35 / $91.73	Professional		$7.76	$61.35	$91.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $66.75 / $66.75	Professional		$41.05	$66.75	$66.75
United Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $43.85 / $63.99	Professional		$30.02	$43.85	$63.99