Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $19.66 / $99.00	Professional		$0.02	$19.66	$99.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $11.03 / $11.03	Facility		$11.03	$11.03	$11.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $11.03 / $14.89	Professional		$7.50	$11.03	$14.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $21.81 / $55.99	Facility		$17.70	$21.81	$55.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $14.18 / $23.60	Professional		$14.18	$14.18	$23.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $19.41 / $27.86	Professional		$9.64	$19.41	$27.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $9.40	Facility		$0.02	$0.02	$9.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $9.40 / $26.60	Professional		$9.40	$9.40	$26.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $30.00 / $30.00	Professional		$9.61	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Facility		$11.97	$11.97	$11.97
United Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $12.32 / $15.37	Professional		$9.28	$12.32	$15.37