Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $8.49 / $8.49	Facility		$8.49	$8.49	$8.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $8.49 / $8.49	Professional		$6.82	$8.49	$8.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $45.24 / $81.67	Facility		$22.51	$45.24	$81.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.87 / $20.07	Professional		$14.13	$14.87	$20.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $9.02 / $9.67	Facility		$8.68	$9.02	$9.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $11.90 / $11.90	Professional		$11.90	$11.90	$11.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $9.63	Facility		$9.63	$9.63	$9.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $9.63 / $17.25	Professional		$9.63	$9.63	$17.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.49 / $10.75 / $10.75	Facility		$8.49	$10.75	$10.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $10.75 / $16.77	Professional		$8.28	$10.75	$16.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $11.00 / $12.65	Professional		$9.02	$11.00	$12.65
United Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $7.11 / $10.65	Professional		$5.55	$7.11	$10.65