Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $17.57 / $17.57	Facility		$17.57	$17.57	$17.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $17.57 / $18.51	Professional		$12.23	$17.57	$18.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.98 / $83.98 / $109.97	Facility		$83.98	$83.98	$109.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $17.18 / $30.92	Professional		$2.18	$17.18	$30.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $11.84 / $15.26	Facility		$1.49	$11.84	$15.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $13.74 / $19.44	Professional		$1.83	$13.74	$19.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $14.58 / $19.14	Facility		$14.58	$14.58	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $16.00 / $19.14	Professional		$14.58	$16.00	$19.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $16.98 / $24.30	Professional		$1.76	$16.98	$24.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $9.92 / $16.00	Professional		$1.31	$9.92	$16.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $11.42 / $17.39	Professional		$8.98	$11.42	$17.39