Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.21 / $78.18 / $290.50	Facility		$5.21	$78.18	$290.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.62 / $82.23	Professional		$5.05	$5.62	$82.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $11.26 / $21.29	Facility		$6.25	$11.26	$21.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.37 / $0.37	Professional		$0.35	$0.37	$0.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Facility		$9.27	$9.27	$9.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $12.95	Professional		$5.05	$5.05	$12.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $76.52 / $214.86	Facility		$5.20	$76.52	$214.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.36 / $45.00	Professional		$5.05	$5.36	$45.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $5.98 / $10.94	Professional		$5.81	$5.98	$10.94
United Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Facility		$5.05	$5.05	$5.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $57.79 / $62.51	Professional		$5.05	$57.79	$62.51