Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $22.72 / $21,499.92	Facility		$21.94	$22.72	$21,499.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $21.95 / $6,870.00	Professional		$21.30	$21.95	$6,870.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.75 / $47.45 / $88.56	Facility		$24.75	$47.45	$88.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $21.71 / $21.71	Professional		$20.62	$21.71	$21.71
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 $20.61 / $21.31 / $21.31	Professional		$20.61	$21.31	$21.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $37.44 / $16,305.44	Facility		$21.31	$37.44	$16,305.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.95 / $28.76	Professional		$21.31	$21.95	$28.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $24.50 / $25.36	Professional		$24.33	$24.50	$25.36
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $22.61	Professional		$21.31	$21.31	$22.61