Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $25.81 / $98.85	Facility		$12.20	$25.81	$98.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $24.27 / $25.81	Professional		$22.28	$24.27	$25.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $30.74 / $53.98	Facility		$21.35	$30.74	$53.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $20.38 / $27.51	Professional		$13.86	$20.38	$27.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $27.17 / $73.78	Facility		$20.38	$27.17	$73.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $27.17	Professional		$17.66	$17.66	$27.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $31.39 / $39.24	Professional		$17.27	$31.39	$39.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $25.81 / $85.79	Facility		$12.30	$25.81	$85.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $24.62 / $32.60	Professional		$21.56	$24.62	$32.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.24 / $22.49 / $30.36	Professional		$20.24	$22.49	$30.36
United Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $13.58 / $21.77	Professional		$9.93	$13.58	$21.77