Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $12.44 / $58.22	Facility		$12.44	$12.44	$58.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $12.44 / $15.30	Professional		$10.73	$12.44	$15.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $14.81 / $26.01	Facility		$10.70	$14.81	$26.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $9.82 / $13.26	Professional		$6.68	$9.82	$13.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.82 / $13.09 / $35.56	Facility		$9.82	$13.09	$35.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $13.09	Professional		$8.51	$8.51	$13.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $14.87 / $18.59	Professional		$10.07	$14.87	$18.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $16.42 / $50.82	Facility		$12.44	$16.42	$50.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $15.70 / $18.32	Professional		$11.40	$15.70	$18.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $10.84 / $14.63	Professional		$9.75	$10.84	$14.63
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.49 / $11.36	Professional		$5.50	$10.49	$11.36