Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $15.74 / $15.74	Facility		$15.74	$15.74	$15.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $14.80 / $15.74	Professional		$13.64	$14.80	$15.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.71 / $83.85 / $151.37	Facility		$41.71	$83.85	$151.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $27.56 / $37.21	Professional		$26.18	$27.56	$37.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $17.91 / $18.01	Facility		$17.51	$17.91	$18.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $22.05 / $22.05	Professional		$22.05	$22.05	$22.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $18.45 / $18.45	Facility		$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.45 / $31.88	Professional		$18.45	$18.45	$31.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $19.93 / $19.93	Facility		$15.74	$19.93	$19.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $19.93 / $28.93	Professional		$14.78	$19.93	$28.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.33 / $20.39 / $23.44	Professional		$17.33	$20.39	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $12.95 / $19.73	Professional		$9.61	$12.95	$19.73