Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $29.72 / $76.00	Facility		$19.05	$29.72	$76.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $18.18 / $23.98	Professional		$17.47	$18.18	$23.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $22.88 / $39.84	Facility		$16.27	$22.88	$39.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $15.04 / $16.09	Professional		$14.29	$15.04	$16.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $29.78 / $54.45	Facility		$20.05	$29.78	$54.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $25.06 / $27.07	Professional		$20.05	$25.06	$27.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $22.28 / $45.11	Professional		$10.24	$22.28	$45.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.70 / $78.40	Facility		$19.05	$26.70	$78.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $24.06 / $34.08	Professional		$17.48	$24.06	$34.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $18.27 / $29.89	Professional		$16.61	$18.27	$29.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $16.42 / $27.36	Professional		$8.42	$16.42	$27.36