Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $263.72 / $973.71	Facility		$18.64	$263.72	$973.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $18.64 / $99.34	Professional		$18.10	$18.64	$99.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $40.32 / $76.23	Facility		$22.37	$40.32	$76.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $18.44 / $18.44	Professional		$17.52	$18.44	$18.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $24.79 / $24.79	Facility		$24.79	$24.79	$24.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $18.11 / $18.11	Professional		$14.31	$18.11	$18.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $169.10 / $1,135.68	Facility		$18.57	$169.10	$1,135.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.57 / $34.40	Professional		$18.11	$18.57	$34.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.81 / $20.73 / $20.82	Professional		$19.81	$20.73	$20.82
United Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $19.21	Professional		$18.11	$18.11	$19.21