Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Facility		$25.50	$25.50	$25.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $25.50 / $26.02	Professional		$17.66	$25.50	$26.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.24 / $121.24 / $158.77	Facility		$121.24	$121.24	$158.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $24.80 / $44.63	Professional		$3.31	$24.80	$44.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $17.41 / $22.39	Facility		$2.15	$17.41	$22.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $19.84 / $28.56	Professional		$2.65	$19.84	$28.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $27.20	Facility		$20.72	$20.72	$27.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $22.39 / $27.20	Professional		$20.72	$22.39	$27.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $24.89 / $35.70	Professional		$2.58	$24.89	$35.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $13.88 / $22.39	Professional		$1.82	$13.88	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $16.63 / $27.73	Professional		$11.54	$16.63	$27.73