Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Facility		$6.61	$6.61	$6.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.61 / $6.61	Professional		$4.79	$6.61	$6.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $26.15 / $47.62	Facility		$13.13	$26.15	$47.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.67 / $11.70	Professional		$8.24	$8.67	$11.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $5.64 / $5.64	Facility		$5.64	$5.64	$5.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $6.94 / $6.94	Professional		$6.94	$6.94	$6.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $5.59 / $5.59	Facility		$5.59	$5.59	$5.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $5.59 / $7.22	Professional		$3.58	$5.59	$7.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.55 / $6.61	Facility		$5.00	$5.55	$6.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $6.61 / $9.10	Professional		$5.22	$6.61	$9.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.58 / $5.01	Professional		$2.86	$3.58	$5.01
United Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $4.04 / $6.22	Professional		$3.07	$4.04	$6.22