Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.87 / $25.87 / $25.87	Facility		$25.87	$25.87	$25.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $25.87 / $345.00	Professional		$8.00	$25.87	$345.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $23.00	Facility		$15.00	$15.00	$23.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $28.39 / $28.39	Professional		$28.39	$28.39	$28.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $154.00 / $154.00	Facility		$154.00	$154.00	$154.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $87.66 / $154.00	Professional		$70.13	$87.66	$154.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $40.24 / $96.66	Professional		$25.87	$40.24	$96.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $85.93 / $1,500.00	Professional		$30.00	$85.93	$1,500.00