Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.97 / $2.97 / $4.67	Facility		$2.97	$2.97	$4.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.97 / $2.97	Professional		$2.15	$2.97	$2.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $11.76 / $21.42	Facility		$5.90	$11.76	$21.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.90 / $5.27	Professional		$3.70	$3.90	$5.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $2.54	Facility		$2.54	$2.54	$2.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.12 / $3.12	Professional		$3.12	$3.12	$3.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.34 / $2.50	Facility		$2.34	$2.34	$2.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.41 / $3.23	Professional		$1.88	$2.41	$3.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.81 / $3.06	Facility		$2.75	$2.81	$3.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.97 / $4.09	Professional		$2.34	$2.97	$4.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.88 / $2.63	Professional		$1.50	$1.88	$2.63
United Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.82 / $2.78	Professional		$1.30	$1.82	$2.78