Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $15.72 / $86.96	Facility		$15.72	$15.72	$86.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $15.72 / $40.44	Professional		$11.10	$15.72	$40.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $18.72 / $32.86	Facility		$13.42	$18.72	$32.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $16.55 / $22.34	Professional		$12.41	$16.55	$22.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.41 / $16.55 / $40.45	Facility		$12.41	$16.55	$40.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $10.76 / $16.55	Professional		$10.76	$10.76	$16.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $19.00 / $25.30	Professional		$9.22	$19.00	$25.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $15.97 / $57.26	Facility		$15.72	$15.97	$57.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $15.97 / $33.25	Professional		$14.66	$15.97	$33.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $13.71 / $18.50	Professional		$12.33	$13.71	$18.50
United Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $16.55 / $20.39	Facility		$16.55	$16.55	$20.39
United Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $16.44 / $17.18	Professional		$14.00	$16.44	$17.18