Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $27.97 / $192.28	Facility		$14.72	$27.97	$192.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $27.00 / $28.10	Professional		$13.30	$27.00	$28.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.17 / $17.53 / $30.78	Facility		$12.17	$17.53	$30.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $11.62 / $15.69	Professional		$7.90	$11.62	$15.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $15.49 / $42.06	Facility		$11.62	$15.49	$42.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $10.07 / $15.49	Professional		$10.07	$10.07	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $17.76 / $22.20	Professional		$11.91	$17.76	$22.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $23.24 / $66.76	Facility		$14.72	$23.24	$66.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $20.62 / $27.60	Professional		$13.50	$20.62	$27.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $12.82 / $17.30	Professional		$11.53	$12.82	$17.30
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $12.75 / $13.44	Professional		$6.51	$12.75	$13.44