Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $22.86 / $68.34	Facility		$13.30	$22.86	$68.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $22.86 / $51.78	Professional		$19.73	$22.86	$51.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $27.22 / $47.81	Facility		$18.91	$27.22	$47.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $18.05 / $24.37	Professional		$12.27	$18.05	$24.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $24.06 / $58.80	Facility		$18.05	$24.06	$58.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $15.64 / $24.06	Professional		$15.64	$15.64	$24.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $27.67 / $34.59	Professional		$12.96	$27.67	$34.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $22.86 / $63.08	Facility		$13.59	$22.86	$63.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $22.85 / $28.87	Professional		$13.59	$22.85	$28.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $19.92 / $26.89	Professional		$17.92	$19.92	$26.89
United Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $8.77 / $14.44	Professional		$6.26	$8.77	$14.44