Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $17.41 / $17.41	Facility		$16.57	$17.41	$17.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $16.14 / $20.05	Professional		$12.94	$16.14	$20.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $45.45 / $51.43	Facility		$31.87	$45.45	$51.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $63.00 / $82.18	Professional		$30.28	$63.00	$82.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $24.06 / $30.12	Facility		$15.00	$24.06	$30.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $25.20 / $46.69	Professional		$20.16	$25.20	$46.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $22.55 / $49.52	Professional		$15.84	$22.55	$49.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $22.86 / $22.86	Facility		$16.57	$22.86	$22.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $17.38 / $24.92	Professional		$13.65	$17.38	$24.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $14.25 / $16.77	Professional		$13.78	$14.25	$16.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $21.78 / $26.55	Professional		$19.44	$21.78	$26.55