Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $8.69 / $8.69	Facility		$8.69	$8.69	$8.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $8.69 / $8.69	Professional		$6.30	$8.69	$8.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $34.44 / $62.72	Facility		$17.29	$34.44	$62.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $11.42 / $15.42	Professional		$10.85	$11.42	$15.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.42 / $7.42 / $7.42	Facility		$7.42	$7.42	$7.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $9.14 / $9.14	Professional		$9.14	$9.14	$9.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $6.86 / $7.64	Facility		$6.86	$6.86	$7.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.86 / $9.49	Professional		$5.50	$6.86	$9.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $8.32 / $9.24	Facility		$8.26	$8.32	$9.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $8.69 / $11.99	Professional		$6.86	$8.69	$11.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $5.83 / $8.16	Professional		$4.66	$5.83	$8.16
United Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $5.32 / $7.88	Professional		$3.79	$5.32	$7.88