Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.84 / $13.80 / $40.04	Facility		$11.84	$13.80	$40.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $12.06 / $13.15	Professional		$11.35	$12.06	$13.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $15.66 / $27.50	Facility		$11.07	$15.66	$27.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.38 / $14.01	Professional		$7.06	$10.38	$14.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $13.84 / $37.57	Facility		$10.38	$13.84	$37.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.00 / $13.84	Professional		$9.00	$9.00	$13.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $16.11 / $20.13	Professional		$10.63	$16.11	$20.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $14.36 / $53.33	Facility		$12.33	$14.36	$53.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $14.77 / $19.37	Professional		$11.88	$14.77	$19.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $11.46 / $15.47	Professional		$10.31	$11.46	$15.47
United Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $12.46 / $16.61	Facility		$5.81	$12.46	$16.61
United Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $8.86 / $12.00	Professional		$5.81	$8.86	$12.00