Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $47.40	Facility		$13.49	$13.49	$47.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $13.49 / $16.09	Professional		$10.45	$13.49	$16.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.28 / $27.21 / $35.27	Facility		$19.28	$27.21	$35.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $18.03 / $22.54	Professional		$16.84	$18.03	$22.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $16.79 / $31.36	Facility		$15.00	$16.79	$31.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $19.19 / $21.83	Professional		$16.69	$19.19	$21.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $65.00 / $65.00	Facility		$53.50	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $27.52 / $108.10	Professional		$12.77	$27.52	$108.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.98 / $101.62	Facility		$13.49	$16.98	$101.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $15.44 / $22.38	Professional		$12.09	$15.44	$22.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $30.00 / $100.00	Professional		$14.31	$30.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $16.89 / $20.51	Professional		$15.23	$16.89	$20.51