Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.70 / $14.70	Facility		$14.00	$14.70	$14.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.22 / $24.13	Professional		$14.00	$14.22	$24.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $19.95 / $25.00	Facility		$15.96	$19.95	$25.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $22.94 / $31.25	Professional		$16.10	$22.94	$31.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $27.00	Facility		$15.00	$15.00	$27.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.45 / $82.67	Professional		$10.00	$15.45	$82.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $22.81 / $22.81	Facility		$14.00	$22.81	$22.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.97 / $24.13	Professional		$14.00	$14.97	$24.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $49.18 / $63.16	Professional		$40.54	$49.18	$63.16