Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $13.90 / $63.06	Facility		$7.00	$13.90	$63.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $12.42 / $13.39	Professional		$11.12	$12.42	$13.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $26.85 / $50.77	Facility		$14.90	$26.85	$50.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $3.09 / $3.09	Professional		$2.94	$3.09	$3.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $16.51 / $16.51	Facility		$16.51	$16.51	$16.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $15.55	Professional		$12.05	$12.05	$15.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $18.09 / $63.06	Facility		$10.19	$18.09	$63.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $12.06 / $14.47	Professional		$11.12	$12.06	$14.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $12.40 / $13.86	Professional		$11.29	$12.40	$13.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.06 / $14.47	Professional		$12.06	$12.06	$14.47