Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $9.00 / $31.85	Facility		$4.62	$9.00	$31.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.71 / $21.38	Professional		$18.17	$18.71	$21.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.46 / $40.46 / $76.53	Facility		$22.46	$40.46	$76.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $14.62 / $14.62	Professional		$13.89	$14.62	$14.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $24.88 / $24.88	Facility		$24.88	$24.88	$24.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $18.17 / $24.40	Professional		$14.22	$18.17	$24.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $18.71 / $50.64	Facility		$6.22	$18.71	$50.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.20 / $21.80	Professional		$18.17	$18.20	$21.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $20.32 / $20.89	Professional		$18.63	$20.32	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $19.28	Professional		$18.17	$18.17	$19.28