Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $15.27 / $29.01	Facility		$15.27	$15.27	$29.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $41.01 / $42.99	Professional		$15.27	$41.01	$42.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $18.17 / $31.92	Facility		$12.62	$18.17	$31.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $12.05 / $16.27	Professional		$8.19	$12.05	$16.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $16.07 / $43.62	Facility		$12.05	$16.07	$43.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $10.45 / $16.07	Professional		$10.45	$10.45	$16.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $18.59 / $23.23	Professional		$12.36	$18.59	$23.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.27 / $28.06	Facility		$15.26	$15.27	$28.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $21.39 / $41.01	Professional		$14.00	$21.39	$41.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $13.30 / $17.95	Professional		$11.97	$13.30	$17.95
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.85 / $13.94	Professional		$6.75	$9.85	$13.94