Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $17.91 / $99.96	Facility		$15.39	$17.91	$99.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $16.41 / $20.55	Professional		$14.16	$16.41	$20.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $19.53 / $34.29	Facility		$13.56	$19.53	$34.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $12.95 / $17.48	Professional		$8.81	$12.95	$17.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $17.27 / $40.11	Facility		$12.95	$17.27	$40.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $17.27	Professional		$11.23	$11.23	$17.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $19.82 / $24.78	Professional		$8.52	$19.82	$24.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $22.19 / $141.76	Facility		$15.58	$22.19	$141.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $16.57 / $20.72	Professional		$16.41	$16.57	$20.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $14.30 / $19.30	Professional		$12.87	$14.30	$19.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.36 / $11.05	Professional		$7.25	$10.36	$11.05