Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $21.92 / $25.77	Facility		$21.92	$21.92	$25.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $20.61 / $22.63	Professional		$19.00	$20.61	$22.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $115.74 / $210.80	Facility		$58.09	$115.74	$210.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $38.38 / $51.81	Professional		$36.46	$38.38	$51.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $24.95 / $25.07	Facility		$24.32	$24.95	$25.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $30.70 / $30.70	Professional		$30.70	$30.70	$30.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $24.80 / $24.80	Facility		$24.80	$24.80	$24.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $24.80 / $44.63	Professional		$24.80	$24.80	$44.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $27.74 / $27.74	Facility		$21.92	$27.74	$27.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $27.74 / $44.90	Professional		$20.57	$27.74	$44.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $18.03 / $27.48	Professional		$14.25	$18.03	$27.48