Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.65 / $92.65 / $92.65	Facility		$92.65	$92.65	$92.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $19.25 / $26.65	Professional		$10.74	$19.25	$26.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $15.81 / $20.52	Professional		$14.44	$15.81	$20.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $30.09 / $48.62	Facility		$20.26	$30.09	$48.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $22.29 / $27.35	Professional		$20.26	$22.29	$27.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $10.65 / $28.13	Professional		$10.65	$10.65	$28.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $35.36 / $35.36	Facility		$35.36	$35.36	$35.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.98 / $35.36	Professional		$16.60	$26.98	$35.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.42 / $21.63	Professional		$8.51	$12.42	$21.63