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 $7.40 / $10.22 / $10.22	Professional		$7.40	$10.22	$10.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $40.79 / $73.65	Facility		$20.29	$40.79	$73.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $13.41 / $18.10	Professional		$12.74	$13.41	$18.10
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 $10.73 / $10.73 / $10.73	Professional		$10.73	$10.73	$10.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $8.07 / $8.53	Facility		$8.07	$8.07	$8.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $8.42 / $11.16	Professional		$7.16	$8.42	$11.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $9.36 / $10.22	Facility		$8.43	$9.36	$10.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $10.22 / $14.08	Professional		$8.17	$10.22	$14.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $8.42 / $11.40	Professional		$6.73	$8.42	$11.40
United Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $6.19 / $9.49	Professional		$4.46	$6.19	$9.49