Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.26 / $5.77 / $42.38	Facility		$5.26	$5.77	$42.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.16 / $5.48	Professional		$4.90	$5.16	$5.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $6.76 / $11.47	Facility		$4.72	$6.76	$11.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $4.33 / $5.85	Professional		$2.94	$4.33	$5.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $5.77 / $15.66	Facility		$4.33	$5.77	$15.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $5.77	Professional		$3.75	$3.75	$5.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $6.61 / $8.26	Professional		$4.44	$6.61	$8.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.26 / $5.99 / $42.38	Facility		$5.26	$5.99	$42.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.85 / $8.55	Professional		$5.01	$6.85	$8.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $4.76 / $6.43	Professional		$4.29	$4.76	$6.43
United Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $4.75 / $5.01	Professional		$2.42	$4.75	$5.01