Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $19.19 / $19.19	Facility		$19.19	$19.19	$19.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $19.19 / $19.19	Professional		$13.13	$19.19	$19.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.14 / $75.98 / $138.41	Facility		$38.14	$75.98	$138.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $25.20 / $34.02	Professional		$23.94	$25.20	$34.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $16.05 / $16.38	Facility		$16.05	$16.05	$16.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $20.16 / $20.16	Professional		$20.16	$20.16	$20.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $15.15 / $15.15	Facility		$12.09	$15.15	$15.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $15.15 / $20.96	Professional		$11.95	$15.15	$20.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $18.21 / $19.19	Facility		$18.21	$18.21	$19.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.19 / $28.35	Professional		$15.14	$19.19	$28.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $11.95 / $16.73	Professional		$9.56	$11.95	$16.73
United Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $11.83 / $18.04	Professional		$8.36	$11.83	$18.04