Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $14.86 / $21.21	Professional		$11.41	$14.86	$21.21
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $88.13 / $88.13 / $88.13	Professional	CQ	$88.13	$88.13	$88.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $63.00 / $90.00	Professional		$18.43	$63.00	$90.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $20.48 / $23.24	Professional		$17.80	$20.48	$23.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $29.74 / $111.17	Professional		$16.34	$29.74	$111.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $18.64 / $29.70	Professional		$13.69	$18.64	$29.70
Health Alliance Plan Facility/Professional Professional Modifier CQ Low / Median / High Price $88.13 / $88.13 / $88.13	Professional	CQ	$88.13	$88.13	$88.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $12.35 / $75.00	Professional		$12.35	$12.35	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $21.93 / $29.86	Professional		$18.10	$21.93	$29.86