Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.97 / $20.12 / $63.18	Facility		$15.97	$20.12	$63.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $15.97 / $20.76	Professional		$11.10	$15.97	$20.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $19.02 / $33.40	Facility		$13.21	$19.02	$33.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $12.61 / $17.02	Professional		$8.57	$12.61	$17.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.61 / $16.80 / $41.08	Facility		$12.61	$16.80	$41.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $10.93 / $16.80	Professional		$10.93	$10.93	$16.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $19.41 / $24.26	Professional		$9.22	$19.41	$24.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.97 / $15.97 / $63.18	Facility		$15.97	$15.97	$63.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $15.97 / $21.55	Professional		$12.22	$15.97	$21.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $13.92 / $18.79	Professional		$12.52	$13.92	$18.79
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $9.86 / $16.76	Professional		$7.06	$9.86	$16.76