Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $6.66 / $6.66	Facility		$6.66	$6.66	$6.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $6.66 / $6.66	Professional		$4.83	$6.66	$6.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $26.65 / $48.11	Facility		$13.26	$26.65	$48.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.76 / $11.83	Professional		$8.32	$8.76	$11.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.69 / $5.69 / $5.69	Facility		$5.69	$5.69	$5.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $7.01 / $7.01	Professional		$7.01	$7.01	$7.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.26 / $5.26 / $5.57	Facility		$5.26	$5.26	$5.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $5.26 / $7.28	Professional		$4.16	$5.26	$7.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $6.49 / $7.21	Facility		$6.34	$6.49	$7.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $6.66 / $9.19	Professional		$5.26	$6.66	$9.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $4.16 / $5.82	Professional		$3.32	$4.16	$5.82
United Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $4.12 / $6.28	Professional		$3.10	$4.12	$6.28