Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.36 / $25.36 / $25.36	Facility		$25.36	$25.36	$25.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $24.79 / $25.36	Professional		$16.71	$24.79	$25.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.45 / $119.26 / $156.16	Facility		$89.45	$119.26	$156.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $24.39 / $43.90	Professional		$3.25	$24.39	$43.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $15.85 / $22.04	Facility		$2.04	$15.85	$22.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $18.66 / $24.90	Professional		$2.50	$18.66	$24.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $21.85 / $28.68	Facility		$21.85	$21.85	$28.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $25.56 / $28.68	Professional		$21.85	$25.56	$28.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $25.36 / $36.60	Professional		$2.65	$25.36	$36.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $16.51 / $26.63	Professional		$2.18	$16.51	$26.63
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $17.50 / $30.40	Professional		$12.49	$17.50	$30.40