Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $45.14 / $251.15	Facility		$9.80	$45.14	$251.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.80 / $18.39	Professional		$9.00	$9.80	$18.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $11.67 / $20.50	Facility		$8.43	$11.67	$20.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $7.74 / $10.45	Professional		$5.26	$7.74	$10.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.74 / $10.32 / $28.03	Facility		$7.74	$10.32	$28.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $6.71 / $10.32	Professional		$6.71	$6.71	$10.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $11.98 / $14.97	Professional		$6.59	$11.98	$14.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $44.50 / $254.08	Facility		$9.80	$44.50	$254.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $9.80 / $18.00	Professional		$7.74	$9.80	$18.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $8.55 / $11.54	Professional		$7.69	$8.55	$11.54
United Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $4.87 / $8.18	Professional		$3.57	$4.87	$8.18