Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $22.14 / $124.50	Facility		$16.91	$22.14	$124.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $17.42 / $17.71	Professional		$12.22	$17.42	$17.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.64 / $21.08 / $37.03	Facility		$14.64	$21.08	$37.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $13.98 / $18.87	Professional		$9.51	$13.98	$18.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $18.64 / $43.87	Facility		$13.98	$18.64	$43.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.12 / $18.64	Professional		$12.12	$12.12	$18.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $21.48 / $26.85	Professional		$9.22	$21.48	$26.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $27.03 / $141.15	Facility		$17.71	$27.03	$141.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $17.89 / $22.36	Professional		$15.93	$17.89	$22.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $15.44 / $20.84	Professional		$13.89	$15.44	$20.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $11.18 / $11.86	Professional		$7.83	$11.18	$11.86