Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $14.70 / $280.80	Facility		$14.70	$14.70	$280.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $14.70 / $14.70	Professional		$10.52	$14.70	$14.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.23 / $58.75 / $106.06	Facility		$29.23	$58.75	$106.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $19.30 / $26.07	Professional		$18.34	$19.30	$26.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.42 / $11.42 / $12.55	Facility		$11.42	$11.42	$12.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $15.45 / $15.45	Professional		$15.45	$15.45	$15.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $11.60 / $14.33	Facility		$11.60	$11.60	$14.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $12.20 / $16.05	Professional		$10.37	$12.20	$16.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $29.53 / $280.80	Facility		$13.95	$29.53	$280.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $14.70 / $23.17	Professional		$11.59	$14.70	$23.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $12.20 / $16.41	Professional		$9.76	$12.20	$16.41
United Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $9.07 / $13.81	Professional		$6.41	$9.07	$13.81