Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $9.14 / $44.28	Facility		$9.14	$9.14	$44.28
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $30.60 / $35.95 / $594.22	Facility	CQ	$30.60	$35.95	$594.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $9.14 / $20.44	Professional		$8.44	$9.14	$20.44
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $9.06 / $9.06 / $9.06	Professional	CQ	$9.06	$9.06	$9.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $22.74 / $62.58	Facility		$16.54	$22.74	$62.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $63.00 / $82.18	Professional		$11.30	$63.00	$82.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $14.16 / $17.64	Facility		$11.76	$14.16	$17.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $12.98 / $19.36	Professional		$12.23	$12.98	$19.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.31 / $14.71	Professional		$11.31	$11.31	$14.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $9.59 / $44.28	Facility		$9.14	$9.59	$44.28
Health Alliance Plan Facility/Professional Facility Modifier CQ Low / Median / High Price $30.60 / $37.97 / $594.22	Facility	CQ	$30.60	$37.97	$594.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $13.01 / $17.55	Professional		$9.14	$13.01	$17.55
Health Alliance Plan Facility/Professional Professional Modifier CQ Low / Median / High Price $9.06 / $9.06 / $9.06	Professional	CQ	$9.06	$9.06	$9.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $14.29 / $18.21	Professional		$11.39	$14.29	$18.21