Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Facility		$17.30	$17.30	$17.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $17.30 / $17.67	Professional		$11.91	$17.30	$17.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.78 / $81.78 / $107.09	Facility		$81.78	$81.78	$107.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $16.73 / $30.11	Professional		$2.12	$16.73	$30.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $12.03 / $16.48	Facility		$1.45	$12.03	$16.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $13.38 / $19.73	Professional		$1.78	$13.38	$19.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $13.81 / $13.81	Facility		$13.81	$13.81	$13.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $15.08 / $18.17	Professional		$13.81	$15.08	$18.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $17.30 / $24.68	Professional		$2.23	$17.30	$24.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $15.08 / $15.08	Professional		$9.27	$15.08	$15.08
United Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $11.80 / $17.39	Professional		$7.84	$11.80	$17.39