Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $14.03 / $17.02	Facility		$14.03	$14.03	$17.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $14.40 / $16.21	Professional		$11.07	$14.40	$16.21
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 $15.00 / $17.39 / $27.05	Facility		$15.00	$17.39	$27.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $19.75 / $22.61	Professional		$17.17	$19.75	$22.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $45.98 / $114.34	Professional		$13.41	$45.98	$114.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $16.21 / $26.61	Facility		$14.03	$16.21	$26.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $16.21 / $20.68	Professional		$11.84	$16.21	$20.68
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 $19.80 / $23.30 / $55.00	Professional		$19.80	$23.30	$55.00