Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $17.78 / $18.04	Professional		$12.56	$17.78	$18.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $84.67 / $112.86	Facility		$8.61	$84.67	$112.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $16.75 / $31.73	Professional		$2.35	$16.75	$31.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $11.49 / $17.12	Facility		$1.51	$11.49	$17.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $14.11 / $18.80	Professional		$1.86	$14.11	$18.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $14.44 / $14.44	Facility		$14.44	$14.44	$14.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $17.12 / $20.17	Professional		$14.44	$17.12	$20.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $16.42 / $23.51	Professional		$1.70	$16.42	$23.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $10.61 / $17.12	Professional		$1.46	$10.61	$17.12
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.47 / $19.53	Professional		$9.02	$12.47	$19.53