Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Facility		$12.07	$12.07	$12.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $12.07 / $12.07	Professional		$8.74	$12.07	$12.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $47.80 / $87.05	Facility		$23.99	$47.80	$87.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $15.85 / $21.40	Professional		$15.06	$15.85	$21.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Facility		$10.30	$10.30	$10.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $12.68 / $12.68	Professional		$12.68	$12.68	$12.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $9.23 / $9.51	Facility		$9.23	$9.23	$9.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $9.23 / $13.18	Professional		$7.82	$9.23	$13.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $11.45 / $12.07	Facility		$11.45	$11.45	$12.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $12.07 / $17.82	Professional		$9.51	$12.07	$17.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $7.82 / $10.94	Professional		$6.25	$7.82	$10.94
United Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $7.44 / $11.33	Professional		$5.26	$7.44	$11.33