Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.80 / $21.80 / $21.80	Facility		$21.80	$21.80	$21.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $21.80 / $22.02	Professional		$15.33	$21.80	$22.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $103.40 / $137.88	Facility		$8.10	$103.40	$137.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $21.53 / $38.76	Professional		$2.21	$21.53	$38.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.87 / $14.24 / $21.26	Facility		$1.87	$14.24	$21.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $17.23 / $23.39	Professional		$2.29	$17.23	$23.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $18.77 / $24.64	Facility		$18.77	$18.77	$24.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $21.43 / $24.64	Professional		$18.77	$21.43	$24.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $21.12 / $29.24	Professional		$2.11	$21.12	$29.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $13.28 / $21.43	Professional		$1.82	$13.28	$21.43
United Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $15.28 / $23.52	Professional		$11.15	$15.28	$23.52