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 $4.61 / $19.00 / $22.21	Professional		$4.61	$19.00	$22.21
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 / $24.98 / $32.11	Professional		$21.39	$24.98	$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 $11.35 / $13.00 / $15.75	Professional		$11.35	$13.00	$15.75
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 $17.97 / $19.57 / $31.25	Professional		$17.97	$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 $5.48 / $6.40 / $8.99	Professional		$5.48	$6.40	$8.99