Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.76 / $18.76 / $18.76	Facility		$18.76	$18.76	$18.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $18.76 / $19.62	Professional		$13.23	$18.76	$19.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.77 / $90.36 / $118.33	Facility		$67.77	$90.36	$118.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $18.48 / $33.26	Professional		$1.81	$18.48	$33.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $12.01 / $16.02	Facility		$1.59	$12.01	$16.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $13.02 / $17.36	Professional		$1.74	$13.02	$17.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $13.93 / $13.93	Facility		$13.93	$13.93	$13.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $13.93 / $24.38	Professional		$13.93	$13.93	$24.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $17.79 / $24.64	Professional		$2.37	$17.79	$24.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $11.56 / $17.41	Professional		$8.18	$11.56	$17.41