Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.13 / $13.17 / $96.94	Facility		$10.13	$13.17	$96.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.59 / $11.26	Professional		$10.33	$10.59	$11.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $13.41 / $23.55	Facility		$9.68	$13.41	$23.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $8.89 / $12.00	Professional		$6.05	$8.89	$12.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $11.85 / $32.19	Facility		$8.89	$11.85	$32.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $7.70 / $11.85	Professional		$7.70	$7.70	$11.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $13.63 / $17.04	Professional		$9.11	$13.63	$17.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $15.23 / $96.94	Facility		$11.25	$15.23	$96.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $14.08 / $17.67	Professional		$10.57	$14.08	$17.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $9.82 / $13.25	Professional		$8.83	$9.82	$13.25
United Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $7.27 / $10.28	Professional		$4.98	$7.27	$10.28