Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $32.01 / $32.01	Facility		$32.01	$32.01	$32.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $32.01 / $33.14	Professional		$21.18	$32.01	$33.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.44 / $145.44 / $190.46	Facility		$145.44	$145.44	$190.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $29.75 / $53.54	Professional		$2.90	$29.75	$53.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $20.83 / $26.83	Facility		$2.58	$20.83	$26.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $23.80 / $40.22	Professional		$3.18	$23.80	$40.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $25.90 / $34.00	Facility		$25.90	$25.90	$34.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $29.15 / $34.00	Professional		$25.90	$29.15	$34.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $31.81 / $49.57	Professional		$3.63	$31.81	$49.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $19.55 / $31.54	Professional		$2.67	$19.55	$31.54
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.37 / $31.55	Professional		$14.45	$21.37	$31.55