Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $12.66 / $12.66	Facility		$12.66	$12.66	$12.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $12.66 / $12.66	Professional		$8.74	$12.66	$12.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $50.15 / $91.34	Facility		$25.17	$50.15	$91.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $16.63 / $22.45	Professional		$15.80	$16.63	$22.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.19 / $10.81	Facility		$9.19	$9.19	$10.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.31 / $11.31	Professional		$11.31	$11.31	$11.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.99 / $9.99 / $9.99	Facility		$9.99	$9.99	$9.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $9.99 / $13.82	Professional		$8.49	$9.99	$13.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.00 / $12.66	Facility		$12.00	$12.00	$12.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $12.66 / $18.70	Professional		$9.98	$12.66	$18.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $9.60 / $13.44	Professional		$7.68	$9.60	$13.44
United Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $7.80 / $11.75	Professional		$5.52	$7.80	$11.75