Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $18.12 / $56.53	Facility		$17.35	$18.12	$56.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $17.35 / $21.28	Professional		$16.84	$17.35	$21.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $36.71 / $69.95	Facility		$19.55	$36.71	$69.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $17.14 / $17.14	Professional		$16.29	$17.14	$17.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.05 / $23.05 / $23.05	Facility		$23.05	$23.05	$23.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $16.84 / $16.84	Professional		$14.31	$16.84	$16.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $25.26 / $50.42	Facility		$16.84	$25.26	$50.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $17.35 / $20.20	Professional		$16.84	$17.35	$20.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $19.36 / $20.22	Professional		$19.18	$19.36	$20.22
United Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $16.82 / $16.82	Facility		$16.82	$16.82	$16.82
United Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $18.86 / $20.01	Professional		$16.84	$18.86	$20.01