Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.70 / $14.70	Facility		$14.00	$14.70	$14.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $14.00 / $18.07	Professional		$4.03	$14.00	$18.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $17.45 / $22.55	Facility		$16.67	$17.45	$22.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $18.32 / $23.56	Professional		$15.69	$18.32	$23.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $8.57 / $8.57	Facility		$3.93	$8.57	$8.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $7.05 / $8.57	Professional		$3.93	$7.05	$8.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.60 / $17.36	Professional		$10.00	$13.60	$17.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $25.00 / $25.00	Facility		$14.00	$25.00	$25.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $14.51 / $25.00	Professional		$13.33	$14.51	$25.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $5.56 / $7.85	Professional		$4.80	$5.56	$7.85