Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.98 / $15.98 / $15.98	Facility		$15.98	$15.98	$15.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $15.98 / $15.98	Professional		$11.57	$15.98	$15.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.76 / $63.27 / $115.23	Facility		$31.76	$63.27	$115.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $20.98 / $28.32	Professional		$19.93	$20.98	$28.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $13.64 / $13.64	Facility		$13.64	$13.64	$13.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $16.78 / $16.78	Professional		$16.78	$16.78	$16.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $13.91 / $14.33	Facility		$13.91	$13.91	$14.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $13.91 / $17.45	Professional		$11.19	$13.91	$17.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $15.16 / $15.98	Facility		$15.16	$15.16	$15.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $15.98 / $23.60	Professional		$12.78	$15.98	$23.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $13.16 / $17.82	Professional		$10.52	$13.16	$17.82
United Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $9.68 / $14.83	Professional		$6.98	$9.68	$14.83