Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $6.98 / $21.47	Facility		$6.88	$6.98	$21.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.98 / $447.24	Professional		$6.76	$6.98	$447.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $15.09 / $28.53	Facility		$8.69	$15.09	$28.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $16.25 / $16.25	Professional		$15.44	$16.25	$16.25
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 $6.77 / $6.77 / $16.57	Professional		$6.77	$6.77	$16.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $12.04 / $22.30	Facility		$6.77	$12.04	$22.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.88 / $17.88	Professional		$6.77	$6.88	$17.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $7.18	Professional		$6.77	$6.77	$7.18