Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $10.07 / $12.15	Facility		$10.07	$10.07	$12.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $10.60 / $14.40	Professional		$7.97	$10.60	$14.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $63.00 / $178.15	Facility		$0.02	$63.00	$178.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $82.18 / $90.00	Professional		$63.00	$82.18	$90.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $15.00 / $22.05	Facility		$12.83	$15.00	$22.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $14.46 / $16.68	Professional		$12.57	$14.46	$16.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $12.25 / $80.00	Professional		$9.60	$12.25	$80.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $12.12 / $12.85	Facility		$10.07	$12.12	$12.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $12.12 / $15.15	Professional		$8.59	$12.12	$15.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $22.04	Professional		$13.47	$13.47	$22.04