Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.92 / $4.92 / $4.92	Facility		$4.92	$4.92	$4.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $4.92 / $4.92	Professional		$3.57	$4.92	$4.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $19.64 / $35.47	Facility		$9.77	$19.64	$35.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.46 / $8.72	Professional		$6.14	$6.46	$8.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $4.20 / $4.20	Facility		$4.20	$4.20	$4.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.17 / $5.17	Professional		$5.17	$5.17	$5.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Facility		$3.88	$3.88	$3.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.04 / $5.38	Professional		$3.43	$4.04	$5.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $4.66 / $4.92	Facility		$4.66	$4.66	$4.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $4.92 / $7.28	Professional		$3.87	$4.92	$7.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $4.04 / $5.49	Professional		$3.23	$4.04	$5.49
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.03 / $4.57	Professional		$2.14	$3.03	$4.57