Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $15.66 / $1,612.38	Facility		$12.36	$15.66	$1,612.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.42 / $16.57	Professional		$12.07	$12.42	$16.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.01 / $26.86 / $50.13	Facility		$14.01	$26.86	$50.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $12.29 / $12.29	Professional		$11.68	$12.29	$12.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $16.52 / $16.52	Facility		$16.52	$16.52	$16.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $12.07 / $12.07	Professional		$9.27	$12.07	$12.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $15.66 / $1,603.14	Facility		$12.07	$15.66	$1,603.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.36 / $14.48	Professional		$12.07	$12.36	$14.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $13.80 / $13.88	Professional		$13.21	$13.80	$13.88
United Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $12.81	Professional		$12.07	$12.07	$12.81