Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $45.03 / $146.26	Facility		$11.70	$45.03	$146.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.70 / $14.13	Professional		$11.36	$11.70	$14.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $25.29 / $47.84	Facility		$14.04	$25.29	$47.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $6.28 / $6.28	Professional		$5.97	$6.28	$6.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $15.55 / $15.55	Facility		$15.55	$15.55	$15.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $59.75	Professional		$11.36	$11.36	$59.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $41.04 / $92.90	Facility		$11.69	$41.04	$92.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.70 / $15.04	Professional		$11.36	$11.70	$15.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.43 / $14.78	Professional		$13.06	$13.43	$14.78
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $12.05	Professional		$11.36	$11.36	$12.05