Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.42 / $22.70 / $22.70	Facility		$22.42	$22.70	$22.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $18.63 / $22.70	Professional		$11.90	$18.63	$22.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $83.82 / $161.94	Facility		$39.36	$83.82	$161.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $28.33 / $37.28	Professional		$2.83	$28.33	$37.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Facility		$19.38	$19.38	$19.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $23.86 / $23.86	Professional		$23.86	$23.86	$23.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $18.96 / $18.96	Facility		$18.96	$18.96	$18.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $16.12 / $43.13	Professional		$16.12	$16.12	$43.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $2.15 / $29.82	Facility		$2.15	$2.15	$29.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $22.42 / $894.24	Professional		$2.15	$22.42	$894.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $13.86 / $22.77	Professional		$9.90	$13.86	$22.77