Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $23.84 / $62.39	Facility		$21.82	$23.84	$62.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $17.32 / $21.82	Professional		$12.39	$17.32	$21.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $25.99 / $45.64	Facility		$18.05	$25.99	$45.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $17.23 / $23.26	Professional		$11.72	$17.23	$23.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $22.97 / $53.72	Facility		$17.23	$22.97	$53.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $14.93 / $22.97	Professional		$14.93	$14.93	$22.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $26.43 / $35.10	Professional		$12.86	$26.43	$35.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $22.05 / $62.39	Facility		$21.82	$22.05	$62.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $22.05 / $27.56	Professional		$12.57	$22.05	$27.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $19.02 / $25.67	Professional		$17.11	$19.02	$25.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $13.78 / $14.70	Professional		$9.65	$13.78	$14.70