Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $28.36 / $28.36	Facility		$28.36	$28.36	$28.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $28.36 / $55.00	Professional		$28.36	$28.36	$55.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.93 / $49.67 / $90.46	Facility		$24.93	$49.67	$90.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $16.47 / $22.23	Professional		$15.65	$16.47	$22.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $18.36 / $18.36	Facility		$18.36	$18.36	$18.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $24.70	Professional		$24.70	$24.70	$24.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $12.60 / $12.60	Facility		$12.60	$12.60	$12.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $12.60 / $12.98	Professional		$10.71	$12.60	$12.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $28.36 / $28.36	Facility		$28.36	$28.36	$28.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $28.36 / $28.36	Professional		$28.36	$28.36	$28.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $13.25 / $22.08	Professional		$11.04	$13.25	$22.08