Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $17.97 / $17.97	Facility		$17.11	$17.97	$17.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $17.03 / $20.68	Professional		$13.62	$17.03	$20.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $47.57 / $53.83	Facility		$32.86	$47.57	$53.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $63.00 / $82.18	Professional		$31.23	$63.00	$82.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $24.84 / $31.09	Facility		$15.00	$24.84	$31.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $26.38 / $48.84	Professional		$21.10	$26.38	$48.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $23.25 / $35.10	Professional		$16.57	$23.25	$35.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $17.97 / $23.88	Facility		$17.11	$17.97	$23.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $17.35 / $26.00	Professional		$14.42	$17.35	$26.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.42 / $49.21	Professional		$27.54	$33.42	$49.21
United Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $22.77 / $27.53	Professional		$20.44	$22.77	$27.53