Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $16.75 / $16.75	Facility		$16.75	$16.75	$16.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $16.75 / $16.75	Professional		$14.28	$16.75	$16.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $66.93 / $120.83	Facility		$33.29	$66.93	$120.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $22.00 / $29.70	Professional		$20.90	$22.00	$29.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $16.82 / $16.82	Facility		$16.82	$16.82	$16.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $20.70 / $20.70	Professional		$20.70	$20.70	$20.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $15.54 / $16.01	Facility		$15.54	$15.54	$16.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $15.54 / $19.20	Professional		$13.21	$15.54	$19.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $15.90 / $16.75	Facility		$15.90	$15.90	$16.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $16.75 / $24.75	Professional		$13.58	$16.75	$24.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $13.91 / $18.70	Professional		$11.12	$13.91	$18.70
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.06 / $13.93	Facility		$8.71	$10.06	$13.93
United Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $10.52 / $15.74	Professional		$8.59	$10.52	$15.74