Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $117.11 / $413.29	Facility		$19.14	$117.11	$413.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $19.14 / $22.49	Professional		$18.59	$19.14	$22.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.49 / $28.21 / $50.17	Facility		$20.49	$28.21	$50.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $18.94 / $18.94	Professional		$17.98	$18.94	$18.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $25.45 / $25.45	Facility		$25.45	$25.45	$25.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $20.27	Professional		$18.59	$18.59	$20.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $53.28 / $217.13	Facility		$18.59	$53.28	$217.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $19.14 / $22.30	Professional		$18.59	$19.14	$22.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $21.37 / $21.52	Professional		$21.37	$21.37	$21.52
United Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $19.72	Professional		$18.59	$18.59	$19.72