Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $13.66 / $13.66	Facility		$13.66	$13.66	$13.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $13.66 / $13.66	Professional		$9.35	$13.66	$13.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $54.58 / $98.53	Facility		$27.16	$54.58	$98.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $17.94 / $24.22	Professional		$17.04	$17.94	$24.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $11.66 / $11.66	Facility		$11.66	$11.66	$11.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $13.67 / $13.67	Professional		$13.67	$13.67	$13.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $10.78	Facility		$10.78	$10.78	$10.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $10.78 / $14.92	Professional		$9.01	$10.78	$14.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $13.66 / $17.38	Facility		$12.97	$13.66	$17.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $13.66 / $18.82	Professional		$10.78	$13.66	$18.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $9.01 / $12.61	Professional		$7.20	$9.01	$12.61
United Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $8.35 / $12.68	Professional		$5.97	$8.35	$12.68