Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $144.09	Facility		$0.02	$0.02	$144.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $19.66 / $74.00	Professional		$0.02	$19.66	$74.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $9.07 / $9.07	Facility		$9.07	$9.07	$9.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.07 / $12.24	Professional		$6.17	$9.07	$12.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $21.81 / $55.99	Facility		$17.70	$21.81	$55.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $14.18 / $23.60	Professional		$14.18	$14.18	$23.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $15.69 / $27.86	Professional		$14.74	$15.69	$27.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $14.38	Facility		$0.02	$0.02	$14.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $14.38 / $26.60	Professional		$14.38	$14.38	$26.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $30.00 / $30.00	Professional		$14.70	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.05 / $14.74	Professional		$6.46	$10.05	$14.74