Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $14.90 / $46.49	Facility		$14.90	$14.90	$46.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $14.90 / $15.83	Professional		$14.90	$14.90	$15.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $35.61 / $67.34	Facility		$18.57	$35.61	$67.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $14.35 / $15.11	Professional		$8.06	$14.35	$15.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $5.68 / $5.68	Professional		$5.68	$5.68	$5.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $15.83 / $21.09	Professional		$15.83	$15.83	$21.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $18.25 / $41.46	Facility		$14.90	$18.25	$41.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $17.21 / $22.34	Professional		$14.90	$17.21	$22.34
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 $6.92 / $17.30 / $17.66	Professional		$6.92	$17.30	$17.66