Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $2.62 / $2.62	Facility		$2.62	$2.62	$2.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $2.62 / $2.76	Professional		$1.56	$2.62	$2.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $10.19 / $20.07	Facility		$4.78	$10.19	$20.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.52 / $4.38	Professional		$3.21	$3.52	$4.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.38 / $4.55 / $5.58	Facility		$3.38	$4.55	$5.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.38 / $7.84	Professional		$3.55	$4.38	$7.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $4.69	Professional		$2.00	$2.00	$4.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $5.04 / $5.86	Facility		$2.62	$5.04	$5.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $5.04 / $6.04	Professional		$2.62	$5.04	$6.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $30.00 / $75.00	Professional		$3.01	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $1.56 / $2.80	Professional		$1.31	$1.56	$2.80