Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.36 / $104.11	Facility		$33.11	$33.36	$104.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.47 / $35.36	Professional		$32.15	$32.47	$35.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.14 / $65.95 / $133.59	Facility		$34.14	$65.95	$133.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $34.06 / $44.21	Professional		$31.11	$34.06	$44.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $35.36 / $48.60	Facility		$32.15	$35.36	$48.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $33.76 / $74.55	Professional		$32.15	$33.76	$74.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $40.94	Professional		$32.15	$32.15	$40.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $64.80 / $92.85	Facility		$32.15	$64.80	$92.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.72 / $39.26	Professional		$32.15	$32.72	$39.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $35.61 / $57.87	Professional		$32.15	$35.61	$57.87
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $34.72	Professional		$32.15	$32.15	$34.72