Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $34.00 / $34.00	Facility		$34.00	$34.00	$34.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.00 / $36.79	Professional		$23.99	$34.00	$36.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $42.43 / $60.29	Professional		$4.25	$42.43	$60.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $22.39 / $30.02	Facility		$2.89	$22.39	$30.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $27.55 / $36.94	Professional		$3.70	$27.55	$36.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $28.37 / $28.37	Facility		$28.37	$28.37	$28.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $28.37 / $37.13	Professional		$25.86	$28.37	$37.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $31.14 / $44.66	Professional		$3.23	$31.14	$44.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.84 / $25.86	Professional		$2.12	$2.84	$25.86
United Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $20.97 / $31.96	Professional		$15.34	$20.97	$31.96