Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $20.67 / $26.04	Facility		$20.67	$20.67	$26.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $20.67 / $27.88	Professional		$12.33	$20.67	$27.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.88 / $55.66 / $70.25	Facility		$38.88	$55.66	$70.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $65.00 / $90.00	Professional		$34.53	$65.00	$90.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $22.50 / $31.36	Facility		$15.00	$22.50	$31.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $25.83 / $29.25	Professional		$22.46	$25.83	$29.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $53.50 / $65.00	Facility		$53.50	$53.50	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $32.25 / $80.00	Professional		$20.19	$32.25	$80.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $21.85 / $26.04	Facility		$20.67	$21.85	$26.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $21.85 / $34.11	Professional		$18.39	$21.85	$34.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $19.13 / $75.00	Professional		$15.29	$19.13	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $28.04 / $37.01	Professional		$22.63	$28.04	$37.01