Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $28.91 / $28.91	Facility		$28.91	$28.91	$28.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $28.91 / $29.03	Professional		$20.21	$28.91	$29.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.86 / $136.29 / $181.72	Facility		$13.86	$136.29	$181.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $26.96 / $51.08	Professional		$3.78	$26.96	$51.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $20.32 / $28.52	Facility		$2.66	$20.32	$28.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $22.70 / $35.10	Professional		$3.03	$22.70	$35.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $24.94 / $24.94	Facility		$24.94	$24.94	$24.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $28.69 / $32.72	Professional		$24.94	$28.69	$32.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $27.62 / $39.46	Professional		$3.03	$27.62	$39.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $17.78 / $28.69	Professional		$2.43	$17.78	$28.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $19.51 / $28.82	Professional		$14.57	$19.51	$28.82