Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $24.46 / $24.46	Facility		$24.46	$24.46	$24.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $24.46 / $24.46	Professional		$8.00	$24.46	$24.46
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 $28.62 / $28.62 / $28.62	Professional		$28.62	$28.62	$28.62
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 $76.13 / $95.16 / $154.00	Professional		$76.13	$95.16	$154.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $24.46 / $38.04	Professional		$24.46	$24.46	$38.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $85.93 / $1,500.00	Professional		$30.00	$85.93	$1,500.00