Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $78.19 / $437.07	Facility		$23.76	$78.19	$437.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $23.76 / $23.76	Professional		$16.71	$23.76	$23.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $7.04 / $11.92	Facility		$5.01	$7.04	$11.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $4.50 / $6.08	Professional		$3.06	$4.50	$6.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $17.98 / $46.15	Facility		$14.60	$17.98	$46.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $11.69 / $19.46	Professional		$11.69	$11.69	$19.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $23.95 / $29.94	Professional		$11.14	$23.95	$29.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $50.12 / $320.32	Facility		$23.76	$50.12	$320.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $23.76 / $35.02	Professional		$18.00	$23.76	$35.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $7.89 / $7.89	Professional		$5.26	$7.89	$7.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $12.28 / $17.54	Professional		$7.88	$12.28	$17.54