Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $45.45 / $45.45	Facility		$45.45	$45.45	$45.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $45.20 / $45.45	Professional		$31.46	$45.20	$45.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $212.22 / $282.95	Facility		$16.61	$212.22	$282.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $55.97 / $79.54	Professional		$4.30	$55.97	$79.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.83 / $31.06 / $46.38	Facility		$3.83	$31.06	$46.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $35.35 / $50.98	Professional		$4.71	$35.35	$50.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.63 / $38.63 / $38.63	Facility		$38.63	$38.63	$38.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $38.63 / $50.70	Professional		$35.06	$38.63	$50.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $44.50 / $63.72	Professional		$4.71	$44.50	$63.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $21.73 / $35.06	Professional		$2.99	$21.73	$35.06
United Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $33.34 / $52.92	Professional		$22.88	$33.34	$52.92