Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.36 / $21.36 / $33.32	Facility		$21.36	$21.36	$33.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $21.36 / $44.96	Professional		$18.43	$21.36	$44.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $25.43 / $44.66	Facility		$17.57	$25.43	$44.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $16.86 / $22.76	Professional		$16.02	$16.86	$22.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $22.48 / $54.94	Facility		$16.86	$22.48	$54.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $14.61 / $22.48	Professional		$14.61	$14.61	$22.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $25.61 / $32.01	Professional		$12.70	$25.61	$32.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $21.36 / $39.25	Facility		$20.29	$21.36	$39.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $22.00 / $28.89	Professional		$20.03	$22.00	$28.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.74 / $18.61 / $30.00	Professional		$16.74	$18.61	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $22.48 / $28.08	Facility		$22.48	$22.48	$28.08
United Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $22.48 / $23.58	Professional		$11.24	$22.48	$23.58