Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $2.39 / $2.39	Facility		$2.39	$2.39	$2.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.39 / $2.39	Professional		$1.93	$2.39	$2.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $9.47 / $17.25	Facility		$4.75	$9.47	$17.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.14 / $4.24	Professional		$2.98	$3.14	$4.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Professional		$2.50	$2.50	$2.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $1.89 / $1.89	Facility		$1.89	$1.89	$1.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $2.22 / $3.52	Professional		$1.89	$2.22	$3.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $1.68 / $2.39	Facility		$1.68	$1.68	$2.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $2.39 / $3.21	Professional		$1.68	$2.39	$3.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $2.20 / $2.67	Professional		$1.87	$2.20	$2.67
United Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.69 / $3.97	Professional		$1.11	$1.69	$3.97