Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.26 / $15.26	Facility		$15.26	$15.26	$15.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $15.26 / $15.59	Professional		$10.76	$15.26	$15.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $72.18 / $96.24	Facility		$7.33	$72.18	$96.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $15.03 / $27.05	Professional		$1.90	$15.03	$27.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $9.77 / $14.57	Facility		$1.31	$9.77	$14.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $12.02 / $16.04	Professional		$1.61	$12.02	$16.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $13.24 / $13.24	Facility		$13.24	$13.24	$13.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $14.26 / $17.38	Professional		$13.24	$14.26	$17.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $14.48 / $20.05	Professional		$1.45	$14.48	$20.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $9.03 / $14.58	Professional		$1.24	$9.03	$14.58
United Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $10.48 / $16.39	Professional		$7.70	$10.48	$16.39