Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $117.75 / $202.06	Facility		$12.04	$117.75	$202.06
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $72.98 / $150.41 / $322.92	Facility	25	$72.98	$150.41	$322.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $16.93 / $112.75	Facility		$14.77	$16.93	$112.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $13.87 / $22.10	Facility		$10.86	$13.87	$22.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $13.19 / $13.19	Facility		$13.19	$13.19	$13.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $117.75 / $202.06	Facility		$10.51	$117.75	$202.06
Health Alliance Plan Facility/Professional Facility Modifier 25 Low / Median / High Price $84.94 / $198.89 / $387.50	Facility	25	$84.94	$198.89	$387.50