Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.02 / $32.11 / $100.18	Facility		$32.02	$32.11	$100.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $31.39 / $34.53	Professional		$28.02	$31.39	$34.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.02 / $75.14 / $143.16	Facility		$40.02	$75.14	$143.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $35.10 / $35.10	Professional		$33.35	$35.10	$35.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $27.94 / $27.94	Facility		$27.94	$27.94	$27.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $20.41	Professional		$20.41	$20.41	$20.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $40.14 / $89.35	Facility		$20.41	$40.14	$89.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $24.49 / $32.11	Professional		$20.41	$24.49	$32.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $23.47 / $24.02	Professional		$22.71	$23.47	$24.02
United Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $34.68 / $35.38	Professional		$34.68	$34.68	$35.38