Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $14.69 / $14.69	Facility		$14.69	$14.69	$14.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $14.69 / $16.67	Professional		$12.57	$14.69	$16.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.94 / $77.59 / $141.32	Facility		$38.94	$77.59	$141.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $25.73 / $34.74	Professional		$24.44	$25.73	$34.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $16.72 / $17.80	Facility		$16.72	$16.72	$17.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $20.58 / $20.58	Professional		$20.58	$20.58	$20.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Facility		$16.30	$16.30	$16.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $30.00	Professional		$16.30	$16.30	$30.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $18.59 / $18.59	Facility		$14.69	$18.59	$18.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $18.59 / $27.79	Professional		$14.69	$18.59	$27.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $19.04 / $21.89	Professional		$15.61	$19.04	$21.89
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $12.83 / $19.78	Professional		$10.70	$12.83	$19.78