Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $19.64 / $30.64	Facility		$18.42	$19.64	$30.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.01 / $19.64	Professional		$17.32	$18.01	$19.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $23.38 / $41.06	Facility		$16.23	$23.38	$41.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $15.50 / $20.93	Professional		$10.54	$15.50	$20.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $20.67 / $56.14	Facility		$15.50	$20.67	$56.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $13.44 / $20.67	Professional		$13.44	$13.44	$20.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $23.95 / $29.94	Professional		$15.89	$23.95	$29.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $19.64 / $36.09	Facility		$18.42	$19.64	$36.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $20.67 / $28.41	Professional		$17.75	$20.67	$28.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $17.11 / $23.09	Professional		$15.39	$17.11	$23.09
United Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $13.23 / $22.84	Professional		$8.68	$13.23	$22.84