Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.82 / $7.82 / $7.82	Facility		$7.82	$7.82	$7.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $7.82 / $8.21	Professional		$4.63	$7.82	$8.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $30.94 / $58.81	Facility		$14.51	$30.94	$58.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $10.67 / $13.34	Professional		$9.75	$10.67	$13.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $16.93 / $22.06	Facility		$10.26	$16.93	$22.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $23.78 / $23.78	Professional		$23.78	$23.78	$23.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $15.00	Professional		$5.24	$5.24	$15.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $8.52	Facility		$7.41	$7.41	$8.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $7.41 / $12.31	Professional		$7.10	$7.41	$12.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $7.39 / $11.57	Professional		$6.43	$7.39	$11.57
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.90 / $7.91	Professional		$3.63	$4.90	$7.91