Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Facility		$3.57	$3.57	$3.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $3.57 / $3.57	Professional		$2.58	$3.57	$3.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.10 / $14.14 / $25.76	Facility		$7.10	$14.14	$25.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $4.69 / $6.33	Professional		$4.46	$4.69	$6.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.05 / $3.05 / $3.05	Facility		$3.05	$3.05	$3.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Professional		$3.75	$3.75	$3.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $2.98	Facility		$2.81	$2.81	$2.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.89 / $3.89	Professional		$2.36	$2.89	$3.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $3.57 / $5.45	Facility		$3.37	$3.57	$5.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $3.57 / $5.45	Professional		$2.81	$3.57	$5.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.36 / $3.30	Professional		$1.88	$2.36	$3.30
United Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $2.15 / $3.31	Professional		$1.56	$2.15	$3.31