Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $13.06 / $13.06	Facility		$13.06	$13.06	$13.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $13.06 / $13.06	Professional		$8.03	$13.06	$13.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $52.15 / $94.14	Facility		$25.94	$52.15	$94.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $17.14 / $23.14	Professional		$16.28	$17.14	$23.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $9.47 / $9.93	Facility		$9.47	$9.47	$9.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $13.71 / $13.71	Professional		$13.71	$13.71	$13.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $10.29 / $12.72	Facility		$10.29	$10.29	$12.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $10.29 / $14.25	Professional		$8.05	$10.29	$14.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $13.06 / $22.21	Facility		$12.38	$13.06	$22.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $13.06 / $19.98	Professional		$9.44	$13.06	$19.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $8.05 / $11.27	Professional		$6.44	$8.05	$11.27
United Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $8.05 / $11.82	Professional		$6.06	$8.05	$11.82