Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Facility		$14.34	$14.34	$14.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $14.34 / $14.34	Professional		$10.38	$14.34	$14.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $57.29 / $103.42	Facility		$28.50	$57.29	$103.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $18.82 / $25.42	Professional		$17.89	$18.82	$25.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $12.24 / $14.38	Facility		$12.24	$12.24	$14.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $15.66 / $15.66	Professional		$15.66	$15.66	$15.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $13.30 / $13.30	Facility		$11.92	$13.30	$13.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $13.30 / $21.75	Professional		$11.92	$13.30	$21.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $13.42 / $14.34	Facility		$12.08	$13.42	$14.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $14.34 / $21.17	Professional		$11.56	$14.34	$21.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $16.01 / $30.00	Professional		$7.65	$16.01	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $8.61 / $11.92	Facility		$7.24	$8.61	$11.92
United Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $9.00 / $13.48	Professional		$7.36	$9.00	$13.48