Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $15.93 / $264.00	Facility		$7.33	$15.93	$264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $4.20 / $14.45	Professional		$2.93	$4.20	$14.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.43 / $4.40	Facility		$1.74	$2.43	$4.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $1.90 / $2.23	Professional		$0.35	$1.90	$2.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $11.14 / $12.26	Facility		$8.25	$11.14	$12.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $8.77 / $10.44	Professional		$8.77	$8.77	$10.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $4.94 / $10.84	Professional		$2.64	$4.94	$10.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.94 / $15.95 / $208.66	Facility		$2.94	$15.95	$208.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $3.36 / $13.01	Professional		$2.83	$3.36	$13.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $30.00 / $75.00	Professional		$11.38	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.85 / $3.59	Professional		$1.58	$2.85	$3.59