Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $3.34 / $3.34	Facility		$3.34	$3.34	$3.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.97 / $3.06 / $3.75	Professional		$1.97	$3.06	$3.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $12.54 / $25.10	Facility		$5.78	$12.54	$25.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $4.55 / $5.63	Professional		$3.96	$4.55	$5.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $5.68 / $7.67	Facility		$4.38	$5.68	$7.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.48 / $10.16	Professional		$4.59	$5.48	$10.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $6.56	Professional		$2.24	$2.24	$6.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $3.62	Facility		$3.20	$3.20	$3.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $3.20 / $5.25	Professional		$3.03	$3.20	$5.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $75.00 / $100.00	Professional		$3.72	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $2.09 / $3.64	Professional		$1.55	$2.09	$3.64