Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $2.93 / $2.93	Facility		$2.93	$2.93	$2.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.93 / $2.93	Professional		$2.12	$2.93	$2.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $11.61 / $21.15	Facility		$5.83	$11.61	$21.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $3.85 / $5.20	Professional		$3.66	$3.85	$5.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $2.50	Facility		$2.50	$2.50	$2.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.08 / $3.08 / $3.08	Professional		$3.08	$3.08	$3.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.31 / $2.45	Facility		$2.31	$2.31	$2.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.38 / $3.20	Professional		$1.95	$2.38	$3.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.77 / $2.93	Facility		$2.49	$2.77	$2.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.93 / $4.04	Professional		$2.31	$2.93	$4.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $1.95 / $2.73	Professional		$1.56	$1.95	$2.73
United Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.79 / $2.75	Professional		$1.28	$1.79	$2.75