Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $10.50 / $10.50	Facility		$2.96	$10.50	$10.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $10.50 / $10.50	Professional		$7.61	$10.50	$10.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $41.95 / $75.73	Facility		$20.88	$41.95	$75.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $13.79 / $18.62	Professional		$13.10	$13.79	$18.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $8.96 / $8.96	Facility		$8.96	$8.96	$8.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $11.03	Professional		$11.03	$11.03	$11.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $8.28 / $8.28	Facility		$8.28	$8.28	$8.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $8.28 / $11.47	Professional		$6.54	$8.28	$11.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $9.38 / $9.96	Facility		$2.96	$9.38	$9.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $10.50 / $14.47	Professional		$8.27	$10.50	$14.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $6.54 / $9.15	Professional		$5.23	$6.54	$9.15
United Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $6.36 / $9.75	Professional		$4.58	$6.36	$9.75