Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $19.09 / $60.44	Facility		$15.26	$19.09	$60.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $15.27 / $19.09	Professional		$10.46	$15.27	$19.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $18.17 / $31.92	Facility		$12.62	$18.17	$31.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $12.05 / $16.27	Professional		$8.19	$12.05	$16.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $16.07 / $39.28	Facility		$12.05	$16.07	$39.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $10.45 / $16.07	Professional		$10.45	$10.45	$16.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $18.59 / $23.23	Professional		$9.22	$18.59	$23.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.97 / $60.44	Facility		$15.26	$15.97	$60.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $15.97 / $19.28	Professional		$11.71	$15.97	$19.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $13.30 / $17.95	Professional		$11.97	$13.30	$17.95
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.64 / $10.40	Professional		$6.75	$9.64	$10.40