Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $27.04 / $132.91	Facility		$18.64	$27.04	$132.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $17.66 / $18.64	Professional		$12.76	$17.66	$18.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $22.20 / $38.99	Facility		$15.42	$22.20	$38.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $14.72 / $19.87	Professional		$10.01	$14.72	$19.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $19.63 / $53.30	Facility		$14.72	$19.63	$53.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $12.76 / $19.63	Professional		$12.76	$12.76	$19.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $22.72 / $28.39	Professional		$15.09	$22.72	$28.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $28.51 / $140.37	Facility		$18.64	$28.51	$140.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $18.64 / $23.56	Professional		$16.88	$18.64	$23.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $16.26 / $30.00	Professional		$14.63	$16.26	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $11.78 / $13.81	Professional		$8.24	$11.78	$13.81