Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $8.77 / $8.77	Facility		$8.77	$8.77	$8.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $8.77 / $8.77	Professional		$6.36	$8.77	$8.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $34.77 / $63.33	Facility		$17.45	$34.77	$63.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $11.53 / $15.57	Professional		$10.95	$11.53	$15.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $7.49 / $7.49	Facility		$7.49	$7.49	$7.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $9.22 / $9.22	Professional		$9.22	$9.22	$9.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.54 / $7.54 / $7.54	Facility		$7.54	$7.54	$7.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $8.14 / $13.64	Professional		$5.32	$8.14	$13.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.33 / $8.33 / $8.77	Facility		$8.33	$8.33	$8.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.77 / $12.96	Professional		$6.92	$8.77	$12.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.32 / $7.44	Professional		$4.25	$5.32	$7.44
United Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $5.36 / $8.14	Professional		$3.83	$5.36	$8.14