Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $11.50 / $11.50	Facility		$11.50	$11.50	$11.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $11.50 / $11.50	Professional		$9.58	$11.50	$11.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.47 / $60.70 / $110.56	Facility		$30.47	$60.70	$110.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $20.13 / $27.18	Professional		$19.12	$20.13	$27.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $13.08 / $13.14	Facility		$12.75	$13.08	$13.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $16.10 / $16.10	Professional		$16.10	$16.10	$16.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $11.23 / $11.23	Facility		$11.23	$11.23	$11.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $23.25	Professional		$11.23	$11.23	$23.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $14.54 / $14.54	Facility		$11.50	$14.54	$14.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $14.54 / $22.64	Professional		$11.50	$14.54	$22.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.47 / $9.61 / $14.41	Professional		$7.47	$9.61	$14.41