Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $23.16 / $23.16	Facility		$23.16	$23.16	$23.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $23.16 / $23.79	Professional		$16.02	$23.16	$23.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $108.05 / $144.07	Facility		$11.00	$108.05	$144.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $28.50 / $40.50	Professional		$3.00	$28.50	$40.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $15.50 / $21.30	Facility		$1.95	$15.50	$21.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $18.00 / $26.22	Professional		$2.40	$18.00	$26.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $20.13 / $20.13	Facility		$20.13	$20.13	$20.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $22.20 / $42.66	Professional		$20.13	$22.20	$42.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $23.16 / $32.51	Professional		$3.00	$23.16	$32.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $18.92 / $26.01	Professional		$1.94	$18.92	$26.01
United Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $16.14 / $22.67	Professional		$11.18	$16.14	$22.67