Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Facility		$17.30	$17.30	$17.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $17.03 / $17.30	Professional		$11.85	$17.03	$17.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.38 / $81.38 / $106.57	Facility		$81.38	$81.38	$106.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $16.64 / $29.96	Professional		$2.22	$16.64	$29.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.44 / $12.19 / $18.21	Facility		$1.44	$12.19	$18.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $13.32 / $20.00	Professional		$1.78	$13.32	$20.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $14.57 / $14.57	Facility		$14.57	$14.57	$14.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $15.29 / $19.13	Professional		$14.57	$15.29	$19.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $17.03 / $25.00	Professional		$1.81	$17.03	$25.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $15.29 / $16.81	Professional		$9.40	$15.29	$16.81
United Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $12.14 / $17.45	Professional		$8.61	$12.14	$17.45