Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.46 / $0.47 / $25.59	Facility		$0.46	$0.47	$25.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $0.36 / $0.53	Professional		$0.19	$0.36	$0.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.87 / $3.68	Facility		$0.90	$1.87	$3.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.64 / $0.81	Professional		$0.59	$0.64	$0.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.53 / $0.64 / $0.88	Facility		$0.53	$0.64	$0.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.65 / $1.33	Professional		$0.56	$0.65	$1.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $0.94	Professional		$0.31	$0.31	$0.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.47 / $1.20 / $1.24	Facility		$0.47	$1.20	$1.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $1.22 / $1.24	Professional		$0.46	$1.22	$1.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.53 / $75.00 / $100.00	Professional		$0.53	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.28 / $0.49	Professional		$0.22	$0.28	$0.49