Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $16.70 / $46.46	Facility		$14.89	$16.70	$46.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $16.70 / $17.50	Professional		$14.89	$16.70	$17.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.52 / $0.52	Facility		$0.52	$0.52	$0.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.52 / $0.70	Professional		$0.49	$0.52	$0.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Facility		$10.54	$10.54	$10.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $11.57 / $11.57	Professional		$11.57	$11.57	$11.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $49.11	Facility		$16.22	$16.22	$49.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $54.65	Professional		$16.22	$16.22	$54.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $26.06 / $96.43	Facility		$14.89	$26.06	$96.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $16.22 / $19.46	Professional		$14.89	$16.22	$19.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $12.58 / $30.00	Professional		$6.81	$12.58	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $16.22 / $17.21	Professional		$12.45	$16.22	$17.21