Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.91 / $24.91 / $24.91	Facility		$24.91	$24.91	$24.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $24.91 / $24.91	Professional		$17.34	$24.91	$24.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $116.94 / $155.93	Facility		$11.92	$116.94	$155.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $24.35 / $43.83	Professional		$3.25	$24.35	$43.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $21.11 / $25.03	Facility		$2.11	$21.11	$25.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $19.48 / $27.50	Professional		$2.60	$19.48	$27.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $21.27	Facility		$21.27	$21.27	$21.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $25.01 / $27.91	Professional		$21.27	$25.01	$27.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $24.84 / $34.38	Professional		$4.05	$24.84	$34.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $15.50 / $25.01	Professional		$2.12	$15.50	$25.01
United Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $17.98 / $28.55	Professional		$13.44	$17.98	$28.55