Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $18.38 / $29.03	Facility		$18.38	$18.38	$29.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $17.55 / $33.74	Professional		$15.87	$17.55	$33.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $21.88 / $38.44	Facility		$15.20	$21.88	$38.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $14.51 / $19.59	Professional		$9.86	$14.51	$19.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $19.35 / $52.57	Facility		$14.51	$19.35	$52.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $19.35	Professional		$12.58	$12.58	$19.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $22.30 / $27.88	Professional		$14.88	$22.30	$27.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $18.38 / $33.77	Facility		$18.38	$18.38	$33.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $22.98 / $27.09	Professional		$16.87	$22.98	$27.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $16.03 / $21.64	Professional		$14.42	$16.03	$21.64
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.38 / $16.79	Professional		$8.13	$12.38	$16.79