Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Facility		$7.41	$7.41	$7.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $7.41 / $14.22	Professional		$6.67	$7.41	$14.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.68 / $152.12 / $274.62	Facility		$75.68	$152.12	$274.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $50.00 / $67.50	Professional		$47.50	$50.00	$67.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $21.94 / $21.94	Facility		$21.94	$21.94	$21.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $28.65 / $28.65	Facility		$28.65	$28.65	$28.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $28.65 / $28.65	Professional		$19.57	$28.65	$28.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $13.09 / $13.09	Facility		$7.41	$13.09	$13.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $13.09 / $17.62	Professional		$7.41	$13.09	$17.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $19.57 / $30.00	Professional		$16.64	$19.57	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $8.66 / $14.44	Professional		$6.81	$8.66	$14.44