Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $11.97 / $88.45	Facility		$11.37	$11.97	$88.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $12.56 / $26.40	Professional		$10.35	$12.56	$26.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $14.25 / $25.03	Facility		$10.28	$14.25	$25.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $9.44 / $12.76	Professional		$8.98	$9.44	$12.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $12.60 / $30.79	Facility		$9.44	$12.60	$30.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $12.60	Professional		$8.19	$8.19	$12.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $14.46 / $19.10	Professional		$7.13	$14.46	$19.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $11.97 / $88.45	Facility		$8.57	$11.97	$88.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $11.97 / $15.75	Professional		$8.57	$11.97	$15.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $10.43 / $14.08	Professional		$9.38	$10.43	$14.08
United Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $5.47 / $7.56	Professional		$3.83	$5.47	$7.56