Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $29.25 / $29.25	Facility		$29.25	$29.25	$29.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $29.25 / $29.57	Professional		$20.59	$29.25	$29.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $138.84 / $185.13	Facility		$14.16	$138.84	$185.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $28.91 / $52.04	Professional		$3.86	$28.91	$52.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $19.10 / $28.49	Facility		$2.50	$19.10	$28.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.08 / $23.13 / $31.32	Professional		$3.08	$23.13	$31.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $30.30 / $44.63	Professional		$28.47	$30.30	$44.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $28.28 / $39.15	Professional		$3.85	$28.28	$39.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $17.65 / $28.47	Professional		$2.43	$17.65	$28.47
United Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $20.48 / $32.50	Professional		$15.78	$20.48	$32.50