Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.31 / $41.31 / $41.31	Facility		$41.31	$41.31	$41.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $12.50 / $12.50	Professional		$1.00	$12.50	$12.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $63.00 / $178.15	Facility		$0.02	$63.00	$178.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $82.18 / $90.00	Professional		$63.00	$82.18	$90.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $103.43	Facility		$15.00	$15.00	$103.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.72 / $105.33	Professional		$50.00	$70.72	$105.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.31 / $61.99 / $61.99	Facility		$41.31	$61.99	$61.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $61.99 / $68.18	Professional		$61.99	$61.99	$68.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00