Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $14.41 / $55.09	Facility		$13.73	$14.41	$55.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.67 / $14.45	Professional		$11.22	$11.67	$14.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.35 / $16.35 / $28.71	Facility		$11.35	$16.35	$28.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $10.84 / $14.63	Professional		$7.37	$10.84	$14.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $14.45 / $35.31	Facility		$10.84	$14.45	$35.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $9.39 / $14.45	Professional		$9.39	$9.39	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $16.93 / $21.17	Professional		$9.90	$16.93	$21.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $14.55 / $55.09	Facility		$13.73	$14.55	$55.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.45 / $17.36	Professional		$11.22	$14.45	$17.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $11.97 / $16.15	Professional		$10.77	$11.97	$16.15
United Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $13.01 / $17.34	Facility		$6.07	$13.01	$17.34
United Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $9.52 / $10.10	Professional		$6.07	$9.52	$10.10