Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $19.54 / $19.54	Facility		$19.54	$19.54	$19.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $19.54 / $19.54	Professional		$14.04	$19.54	$19.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.83 / $77.34 / $140.88	Facility		$38.83	$77.34	$140.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $25.65 / $34.63	Professional		$24.37	$25.65	$34.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $16.67 / $16.67	Facility		$16.67	$16.67	$16.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $20.52 / $20.52	Professional		$20.52	$20.52	$20.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $15.42 / $15.42	Facility		$15.42	$15.42	$15.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $15.88 / $21.34	Professional		$13.79	$15.88	$21.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $10.26 / $19.54	Facility		$9.23	$10.26	$19.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $19.54 / $26.93	Professional		$15.42	$19.54	$26.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $16.22 / $21.80	Professional		$12.97	$16.22	$21.80
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.05 / $18.14	Professional		$8.52	$12.05	$18.14