Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $21.06 / $21.06	Facility		$21.06	$21.06	$21.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $21.06 / $21.38	Professional		$14.60	$21.06	$21.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.26 / $100.26 / $131.30	Facility		$100.26	$100.26	$131.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $20.51 / $36.90	Professional		$2.59	$20.51	$36.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.77 / $14.36 / $18.46	Facility		$1.77	$14.36	$18.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $16.41 / $23.55	Professional		$2.18	$16.41	$23.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Facility		$17.30	$17.30	$17.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $17.30 / $30.75	Professional		$15.36	$17.30	$30.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $20.52 / $29.44	Professional		$2.13	$20.52	$29.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.68 / $15.36	Professional		$1.25	$1.68	$15.36
United Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $13.81 / $18.87	Professional		$9.61	$13.81	$18.87