Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.95 / $19.95	Facility		$19.00	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.57 / $32.90	Professional		$19.00	$19.57	$32.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $27.21 / $37.50	Facility		$23.13	$27.21	$37.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $33.17 / $46.88	Professional		$23.13	$33.17	$46.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $22.41 / $22.41	Facility		$16.71	$22.41	$22.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $22.41 / $29.34	Professional		$16.71	$22.41	$29.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.00 / $40.44	Professional		$19.00	$24.00	$40.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $31.25 / $31.25	Facility		$19.00	$31.25	$31.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.98 / $31.25	Professional		$19.00	$19.98	$31.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $41.28 / $52.17	Professional		$35.65	$41.28	$52.17