Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $10.22 / $10.22	Facility		$10.22	$10.22	$10.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.22 / $10.22	Professional		$7.41	$10.22	$10.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $40.83 / $73.70	Facility		$20.30	$40.83	$73.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $13.42 / $18.12	Professional		$12.75	$13.42	$18.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.72 / $8.72 / $8.72	Facility		$8.72	$8.72	$8.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $10.74	Professional		$10.74	$10.74	$10.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $8.07 / $8.07	Facility		$8.07	$8.07	$8.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.31 / $15.38	Professional		$8.00	$8.31	$15.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $9.71 / $10.22	Facility		$9.71	$9.71	$10.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $10.22 / $15.43	Professional		$8.64	$10.22	$15.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $11.41 / $30.00	Professional		$7.14	$11.41	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $5.22 / $7.23	Facility		$4.51	$5.22	$7.23
United Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $6.31 / $9.49	Professional		$4.46	$6.31	$9.49