Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $21.88 / $21.88	Professional		$18.14	$21.88	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.31 / $38.31 / $38.31	Facility		$38.31	$38.31	$38.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $38.31 / $51.72	Professional		$36.39	$38.31	$51.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $24.90 / $25.03	Facility		$24.28	$24.90	$25.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $30.65 / $30.65	Professional		$30.65	$30.65	$30.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $21.38 / $44.25	Professional		$19.36	$21.38	$44.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $27.67 / $27.67	Facility		$21.88	$27.67	$27.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.67 / $43.08	Professional		$21.88	$27.67	$43.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $17.98 / $27.07	Professional		$13.36	$17.98	$27.07