Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $6.38 / $6.38	Facility		$6.38	$6.38	$6.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $6.38 / $6.38	Professional		$4.62	$6.38	$6.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $25.27 / $46.03	Facility		$12.68	$25.27	$46.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $8.38 / $11.31	Professional		$7.96	$8.38	$11.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $5.45 / $5.45	Facility		$5.45	$5.45	$5.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $6.70 / $6.70	Professional		$6.70	$6.70	$6.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $5.03 / $5.33	Facility		$5.03	$5.03	$5.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.18 / $6.96	Professional		$3.98	$5.18	$6.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.44 / $6.04 / $6.38	Facility		$5.44	$6.04	$6.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $6.38 / $8.78	Professional		$5.03	$6.38	$8.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $3.98 / $5.57	Professional		$3.18	$3.98	$5.57
United Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $3.86 / $5.92	Professional		$2.78	$3.86	$5.92