Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $22.21 / $46.98	Facility		$14.53	$22.21	$46.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $13.00 / $14.53	Professional		$8.00	$13.00	$14.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $17.30 / $30.38	Facility		$12.01	$17.30	$30.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $11.47 / $15.48	Professional		$7.80	$11.47	$15.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $15.29 / $37.36	Facility		$11.47	$15.29	$37.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $15.29	Professional		$9.94	$9.94	$15.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $17.35 / $21.68	Professional		$9.22	$17.35	$21.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $22.21 / $44.42	Facility		$14.53	$22.21	$44.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $15.97 / $19.11	Professional		$11.13	$15.97	$19.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $12.66 / $17.09	Professional		$11.39	$12.66	$17.09
United Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $9.82 / $10.31	Professional		$6.42	$9.82	$10.31