Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $86.32 / $623.22	Facility		$5.22	$86.32	$623.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $28.48 / $446.82	Professional		$3.02	$28.48	$446.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $6.71 / $12.69	Facility		$3.86	$6.71	$12.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.46 / $0.46	Professional		$0.44	$0.46	$0.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.13 / $4.13	Facility		$4.13	$4.13	$4.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $63.96	Professional		$3.02	$3.02	$63.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $76.95 / $689.02	Facility		$3.16	$76.95	$689.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.62 / $257.47	Professional		$3.02	$3.62	$257.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.47 / $5.07	Professional		$3.32	$3.47	$5.07
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.20	Professional		$3.02	$3.02	$3.20