Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $23.68 / $23.68	Facility		$23.68	$23.68	$23.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $23.68 / $23.68	Professional		$8.00	$23.68	$23.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $25.00	Facility		$15.00	$15.00	$25.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $26.22 / $26.22	Professional		$26.22	$26.22	$26.22
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 $70.50 / $70.50 / $88.13	Professional		$70.50	$70.50	$88.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $36.83 / $76.13	Professional		$23.68	$36.83	$76.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $69.73 / $1,500.00	Professional		$30.00	$69.73	$1,500.00