Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $22.42 / $71.47	Professional		$19.19	$22.42	$71.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $39.22 / $50.42	Professional		$35.47	$39.22	$50.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.89 / $33.33 / $58.20	Facility		$22.89	$33.33	$58.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $24.02 / $56.34	Professional		$22.89	$24.02	$56.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $22.32 / $32.75	Professional		$22.32	$22.32	$32.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $40.92 / $40.92 / $40.92	Facility		$40.92	$40.92	$40.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $28.90 / $51.77	Professional		$22.48	$28.90	$51.77
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 $14.38 / $26.35 / $36.89	Professional		$14.38	$26.35	$36.89