Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $9.96 / $9.96	Facility		$9.96	$9.96	$9.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $9.96 / $9.96	Professional		$7.99	$9.96	$9.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $39.44 / $71.84	Facility		$19.80	$39.44	$71.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $13.08 / $17.66	Professional		$12.43	$13.08	$17.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $9.42 / $9.80	Facility		$9.42	$9.42	$9.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.06 / $12.06	Professional		$12.06	$12.06	$12.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Facility		$9.05	$9.05	$9.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $9.05 / $11.18	Professional		$6.20	$9.05	$11.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $9.46 / $9.96	Facility		$9.46	$9.46	$9.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $9.96 / $13.73	Professional		$7.99	$9.96	$13.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $6.20 / $11.12	Professional		$4.96	$6.20	$11.12
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.25 / $9.36	Professional		$5.00	$6.25	$9.36