Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $32.25 / $6,791.16	Facility		$25.80	$32.25	$6,791.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $27.81 / $2,943.20	Professional		$25.80	$27.81	$2,943.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $56.66 / $107.97	Facility		$30.18	$56.66	$107.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $26.47 / $26.47	Professional		$25.15	$26.47	$26.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.96 / $36.96 / $36.96	Facility		$36.96	$36.96	$36.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $55.41	Professional		$27.00	$27.00	$55.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $45.15 / $90.41	Facility		$27.00	$45.15	$90.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $27.00 / $32.40	Professional		$25.80	$27.00	$32.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $31.05 / $32.02	Professional		$28.80	$31.05	$32.02
United Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $28.65	Professional		$27.00	$27.00	$28.65