Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $8.89 / $486.92	Facility		$8.89	$8.89	$486.92
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $77.93 / $97.58 / $99.41	Facility	CQ	$77.93	$97.58	$99.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $11.05 / $15.84	Professional		$6.97	$11.05	$15.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $18.14 / $23.51	Facility		$12.85	$18.14	$23.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $63.00 / $90.00	Professional		$11.04	$63.00	$90.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $15.00 / $27.00	Facility		$11.17	$15.00	$27.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $12.71 / $14.52	Professional		$11.05	$12.71	$14.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $65.00 / $65.00	Facility		$53.50	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $14.48 / $75.00	Professional		$9.86	$14.48	$75.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $15.67 / $486.92	Facility		$8.89	$15.67	$486.92
Health Alliance Plan Facility/Professional Facility Modifier CQ Low / Median / High Price $77.93 / $97.58 / $99.41	Facility	CQ	$77.93	$97.58	$99.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $13.28 / $19.28	Professional		$8.68	$13.28	$19.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $7.67 / $75.00	Professional		$7.67	$7.67	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $15.06 / $20.30	Professional		$10.74	$15.06	$20.30