Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.82 / $16.16 / $28.28	Facility		$5.82	$16.16	$28.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $16.16 / $18.98	Professional		$15.68	$16.16	$18.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $34.96 / $66.11	Facility		$19.39	$34.96	$66.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.57 / $2.57	Professional		$2.44	$2.57	$2.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Facility		$21.48	$21.48	$21.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $15.69 / $15.69	Professional		$2.10	$15.69	$15.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $16.16 / $44.97	Facility		$5.57	$16.16	$44.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $15.84 / $18.82	Professional		$15.68	$15.84	$18.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $11.66 / $18.04	Professional		$11.66	$11.66	$18.04
United Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $15.69 / $16.64	Professional		$15.69	$15.69	$16.64