Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.72 / $24.85 / $77.53	Facility		$24.72	$24.85	$77.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.72 / $18,554.93	Professional		$24.00	$24.72	$18,554.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.87 / $50.58 / $101.05	Facility		$27.87	$50.58	$101.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $24.44 / $24.44	Professional		$23.22	$24.44	$24.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $32.86 / $32.86	Facility		$32.86	$32.86	$32.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $24.00 / $24.00	Professional		$12.62	$24.00	$24.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $35.52 / $69.15	Facility		$24.00	$35.52	$69.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.72 / $31.06	Professional		$24.00	$24.72	$31.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $27.74 / $28.02	Professional		$27.60	$27.74	$28.02
United Facility/Professional Facility Modifier Low / Median / High Price $23.98 / $23.98 / $23.98	Facility		$23.98	$23.98	$23.98
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $25.46	Professional		$24.00	$24.00	$25.46