Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $11.75 / $12.75	Professional		$10.77	$11.75	$12.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.15 / $62.06 / $113.03	Facility		$31.15	$62.06	$113.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $20.58 / $27.78	Professional		$19.55	$20.58	$27.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $13.38 / $16.87	Facility		$12.79	$13.38	$16.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $16.46 / $16.46	Professional		$16.46	$16.46	$16.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $13.34	Facility		$13.34	$13.34	$13.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.34 / $24.00	Professional		$13.34	$13.34	$24.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.89 / $14.89	Facility		$11.75	$14.89	$14.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.89 / $21.60	Professional		$11.75	$14.89	$21.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $15.23 / $17.51	Professional		$12.48	$15.23	$17.51
United Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $9.82 / $14.75	Professional		$8.18	$9.82	$14.75