Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.89 / $18.89	Facility		$18.00	$18.89	$18.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $18.00 / $24.41	Professional		$15.76	$18.00	$24.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $23.79 / $30.75	Facility		$22.73	$23.79	$30.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $25.67 / $32.11	Professional		$21.39	$25.67	$32.11
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 $13.60 / $20.00 / $25.50	Professional		$13.60	$20.00	$25.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $31.25 / $31.25	Facility		$18.00	$31.25	$31.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $19.57 / $31.25	Professional		$18.00	$19.57	$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 $20.91 / $24.21 / $30.72	Professional		$20.91	$24.21	$30.72