Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $7.45 / $23.24	Facility		$7.45	$7.45	$23.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $7.45 / $7.91	Professional		$7.45	$7.45	$7.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $17.79 / $33.20	Facility		$9.52	$17.79	$33.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $7.17 / $7.55	Professional		$4.03	$7.17	$7.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $1.49 / $1.49	Professional		$1.49	$1.49	$1.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $7.91 / $7.91	Professional		$7.91	$7.91	$7.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $9.11 / $20.73	Facility		$7.45	$9.11	$20.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $8.86 / $11.17	Professional		$7.45	$8.86	$11.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,500.00	Professional		$30.00	$30.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $10.17 / $10.79	Professional		$10.17	$10.17	$10.79