Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $17.03 / $111.67	Facility		$17.03	$17.03	$111.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $17.03 / $65.04	Professional		$14.70	$17.03	$65.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $20.29 / $35.63	Facility		$14.09	$20.29	$35.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $13.45 / $18.16	Professional		$9.15	$13.45	$18.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $17.93 / $48.71	Facility		$13.45	$17.93	$48.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $11.65 / $17.93	Professional		$11.65	$11.65	$17.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $20.65 / $25.81	Professional		$12.12	$20.65	$25.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $17.03 / $31.29	Facility		$16.18	$17.03	$31.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $20.83 / $25.10	Professional		$15.61	$20.83	$25.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $14.85 / $20.04	Professional		$13.36	$14.85	$20.04
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $10.76 / $14.08	Professional		$7.53	$10.76	$14.08