Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $5.96 / $3,553.92	Facility		$5.88	$5.96	$3,553.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.88 / $7.84	Professional		$5.70	$5.88	$7.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $12.44 / $23.70	Facility		$6.62	$12.44	$23.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $5.81 / $5.81	Professional		$5.52	$5.81	$5.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $5.71 / $5.71	Professional		$4.21	$5.71	$5.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $7.97 / $18.60	Facility		$5.71	$7.97	$18.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.88 / $7.01	Professional		$5.71	$5.88	$7.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $6.65 / $6.76	Professional		$6.56	$6.65	$6.76
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $6.06	Professional		$5.71	$5.71	$6.06