Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $22.31 / $112.23	Facility		$17.71	$22.31	$112.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $13.58 / $17.71	Professional		$12.20	$13.58	$17.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.64 / $20.82 / $37.03	Facility		$14.64	$20.82	$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 / $45.55	Facility		$13.98	$18.64	$45.55
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 $10.53 / $21.48 / $26.85	Professional		$10.53	$21.48	$26.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $18.23 / $127.87	Facility		$17.71	$18.23	$127.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $18.23 / $23.30	Professional		$12.41	$18.23	$23.30
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 / $11.93	Professional		$7.83	$11.18	$11.93