Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $11.45 / $42.08	Facility		$10.50	$11.45	$42.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $12.94 / $13.14	Professional		$10.50	$12.94	$13.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $9.03 / $23.98	Facility		$9.03	$9.03	$23.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $9.03 / $12.20	Professional		$6.15	$9.03	$12.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $12.05 / $27.98	Facility		$9.03	$12.05	$27.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $7.83 / $12.05	Professional		$7.83	$7.83	$12.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $13.63 / $18.59	Professional		$6.75	$13.63	$18.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $11.57 / $42.08	Facility		$10.50	$11.57	$42.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $11.57 / $14.46	Professional		$10.92	$11.57	$14.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $9.98 / $13.47	Professional		$8.98	$9.98	$13.47
United Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $12.05 / $14.46	Facility		$12.05	$12.05	$14.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.23 / $12.05	Professional		$5.05	$7.23	$12.05