Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Facility		$32.74	$32.74	$32.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $32.74 / $34.21	Professional		$22.71	$32.74	$34.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.97 / $155.97 / $204.25	Facility		$155.97	$155.97	$204.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $31.90 / $57.42	Professional		$4.04	$31.90	$57.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.77 / $22.27 / $28.67	Facility		$2.77	$22.27	$28.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $25.52 / $36.52	Professional		$3.41	$25.52	$36.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $27.09 / $35.54	Facility		$27.09	$27.09	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $28.86 / $35.54	Professional		$27.09	$28.86	$35.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $32.74 / $45.65	Professional		$4.26	$32.74	$45.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $17.89 / $28.86	Professional		$2.36	$17.89	$28.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $21.43 / $32.67	Professional		$14.56	$21.43	$32.67