Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.29 / $40.00	Facility		$4.29	$4.29	$40.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $4.29 / $4.29	Professional		$3.71	$4.29	$4.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.69 / $5.30 / $11.07	Facility		$3.69	$5.30	$11.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.39 / $4.58	Professional		$2.31	$3.39	$4.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $4.51 / $12.27	Facility		$3.39	$4.51	$12.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $2.94 / $4.51	Professional		$2.94	$2.94	$4.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $5.37 / $6.71	Professional		$2.83	$5.37	$6.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $4.29 / $40.00	Facility		$4.20	$4.29	$40.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.29 / $5.77	Professional		$4.07	$4.29	$5.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $3.74 / $5.04	Professional		$3.36	$3.74	$5.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.60 / $2.89	Professional		$1.90	$2.60	$2.89