Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $42.59 / $99.90	Facility		$20.47	$42.59	$99.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $21.95 / $45.39	Professional		$21.30	$21.95	$45.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.34 / $47.46 / $89.76	Facility		$26.34	$47.46	$89.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $17.60 / $17.60	Professional		$16.72	$17.60	$17.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.17 / $29.17 / $29.17	Facility		$29.17	$29.17	$29.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $21.31 / $21.31	Professional		$4.63	$21.31	$21.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $52.72 / $112.57	Facility		$20.59	$52.72	$112.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.84 / $31.96	Professional		$21.31	$21.84	$31.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $24.38 / $24.50	Professional		$23.66	$24.38	$24.50
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $22.61	Professional		$21.31	$21.31	$22.61