Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $18.70 / $27.56	Professional		$14.40	$18.70	$27.56
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.46 / $17.46 / $17.46	Professional	CQ	$17.46	$17.46	$17.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $65.00 / $90.00	Professional		$13.66	$65.00	$90.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.40 / $36.61	Professional		$28.18	$32.40	$36.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $42.53 / $110.30	Professional		$21.17	$42.53	$110.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $22.54 / $33.64	Professional		$14.98	$22.54	$33.64
Health Alliance Plan Facility/Professional Professional Modifier CQ Low / Median / High Price $17.46 / $17.46 / $17.46	Professional	CQ	$17.46	$17.46	$17.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $33.09 / $46.52	Professional		$26.80	$33.09	$46.52
United Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $25.46 / $28.40	Professional		$20.61	$25.46	$28.40