Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.76 / $39.74 / $73.31	Facility		$37.76	$39.74	$73.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $37.11 / $40.42	Professional		$36.74	$37.11	$40.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.68 / $80.13 / $152.68	Facility		$42.68	$80.13	$152.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $38.93 / $50.53	Professional		$35.56	$38.93	$50.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $40.33 / $55.11	Facility		$36.65	$40.33	$55.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $38.58 / $85.18	Professional		$36.74	$38.58	$85.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $46.80	Professional		$36.74	$36.74	$46.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $66.08 / $105.07	Facility		$36.74	$66.08	$105.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $37.76 / $44.44	Professional		$36.74	$37.76	$44.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $40.32 / $54.99	Professional		$36.64	$40.32	$54.99
United Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Facility		$36.72	$36.72	$36.72
United Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $40.90 / $44.46	Professional		$36.74	$40.90	$44.46