Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $30.43 / $17,887.50	Facility		$24.34	$30.43	$17,887.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $24.36 / $28.59	Professional		$23.65	$24.36	$28.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $51.57 / $98.26	Facility		$27.47	$51.57	$98.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $24.09 / $24.09	Professional		$22.89	$24.09	$24.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $32.38 / $32.38	Facility		$32.38	$32.38	$32.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $35.47 / $75.94	Facility		$23.65	$35.47	$75.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $24.34 / $28.38	Professional		$23.65	$24.34	$28.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $27.17 / $27.19	Professional		$26.59	$27.17	$27.19
United Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Facility		$23.65	$23.65	$23.65
United Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $25.09	Professional		$23.65	$23.65	$25.09