Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $59.68 / $89.61	Facility		$10.16	$59.68	$89.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $10.16 / $13.54	Professional		$9.28	$10.16	$13.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $21.95 / $41.51	Facility		$12.18	$21.95	$41.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.19 / $2.19	Professional		$2.08	$2.19	$2.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Facility		$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $45.11	Professional		$9.86	$9.86	$45.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $28.98 / $95.28	Facility		$9.86	$28.98	$95.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $9.86 / $13.31	Professional		$9.28	$9.86	$13.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $10.55 / $11.33	Professional		$10.37	$10.55	$11.33
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $10.46	Professional		$9.86	$9.86	$10.46