Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.27 / $18.27 / $18.27	Facility		$18.27	$18.27	$18.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $18.27 / $18.27	Professional		$13.24	$18.27	$18.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $72.34 / $131.76	Facility		$36.31	$72.34	$131.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $23.99 / $32.39	Professional		$22.79	$23.99	$32.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $15.59 / $15.59	Facility		$15.59	$15.59	$15.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $19.19 / $19.19	Professional		$19.19	$19.19	$19.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $15.93 / $16.41	Facility		$15.93	$15.93	$16.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $15.93 / $27.75	Professional		$9.78	$15.93	$27.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $17.34 / $18.27	Facility		$17.34	$17.34	$18.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $18.27 / $26.00	Professional		$14.42	$18.27	$26.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $15.06 / $20.39	Professional		$12.04	$15.06	$20.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.27 / $16.96	Professional		$7.97	$11.27	$16.96