Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $20.83	Facility		$20.83	$20.83	$20.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $20.83 / $20.83	Professional		$14.60	$20.83	$20.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $83.24 / $150.27	Facility		$41.41	$83.24	$150.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $27.36 / $36.94	Professional		$25.99	$27.36	$36.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $21.89 / $21.89	Professional		$21.89	$21.89	$21.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $16.44 / $16.44	Facility		$16.44	$16.44	$16.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $16.44 / $22.75	Professional		$12.98	$16.44	$22.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.78 / $19.78 / $20.83	Facility		$19.78	$19.78	$20.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $20.83 / $30.78	Professional		$16.44	$20.83	$30.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $12.98 / $18.17	Professional		$10.38	$12.98	$18.17
United Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $12.85 / $19.59	Professional		$9.08	$12.85	$19.59