Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $12.03 / $12.03	Facility		$9.67	$12.03	$12.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.03 / $12.03	Professional		$8.71	$12.03	$12.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.91 / $47.65 / $86.78	Facility		$23.91	$47.65	$86.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $15.80 / $21.33	Professional		$15.01	$15.80	$21.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $10.26 / $10.27	Facility		$10.26	$10.26	$10.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $12.64 / $12.64	Professional		$12.64	$12.64	$12.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $9.49 / $9.49	Facility		$8.10	$9.49	$9.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $9.49 / $13.14	Professional		$8.07	$9.49	$13.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $11.41 / $12.03	Facility		$9.67	$11.41	$12.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $12.03 / $17.78	Professional		$9.49	$12.03	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $8.19 / $11.46	Professional		$6.55	$8.19	$11.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.42 / $11.17	Professional		$5.25	$7.42	$11.17