Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $14.20 / $14.20	Facility		$14.20	$14.20	$14.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $14.20 / $16.11	Professional		$12.14	$14.20	$16.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $74.97 / $136.54	Facility		$37.63	$74.97	$136.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $24.86 / $33.56	Professional		$23.62	$24.86	$33.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $16.82 / $18.10	Facility		$16.16	$16.82	$18.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $19.89 / $19.89	Professional		$19.89	$19.89	$19.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $16.62 / $16.62	Facility		$16.62	$16.62	$16.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $16.62 / $28.88	Professional		$16.62	$16.62	$28.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $17.96 / $17.96	Facility		$14.20	$17.96	$17.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $17.96 / $26.70	Professional		$14.06	$17.96	$26.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $18.39 / $21.16	Professional		$15.08	$18.39	$21.16
United Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Facility		$16.25	$16.25	$16.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $12.40 / $19.11	Professional		$10.34	$12.40	$19.11