Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $18.59 / $82.24	Facility		$18.59	$18.59	$82.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $15.26 / $18.59	Professional		$15.26	$15.26	$18.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $22.14 / $38.89	Facility		$15.38	$22.14	$38.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $14.68 / $19.82	Professional		$9.98	$14.68	$19.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $19.57 / $47.83	Facility		$14.68	$19.57	$47.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $12.72 / $19.57	Professional		$12.72	$12.72	$19.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $20.63 / $25.78	Professional		$10.29	$20.63	$25.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $18.59 / $34.15	Facility		$17.70	$18.59	$34.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $18.07 / $23.48	Professional		$15.26	$18.07	$23.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $16.20 / $21.87	Professional		$14.58	$16.20	$21.87
United Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $10.94 / $12.52	Professional		$7.86	$10.94	$12.52