Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $4.00 / $4.00	Professional		$2.90	$4.00	$4.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $15.83 / $28.84	Facility		$7.94	$15.83	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $5.25 / $7.09	Professional		$4.99	$5.25	$7.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $3.41 / $3.41	Facility		$3.41	$3.41	$3.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $4.20 / $4.20	Professional		$4.20	$4.20	$4.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $3.51 / $3.51	Facility		$3.51	$3.51	$3.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $3.51 / $4.37	Professional		$2.65	$3.51	$4.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $4.00 / $9.56	Facility		$3.80	$4.00	$9.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.00 / $6.30	Professional		$3.16	$4.00	$6.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.65 / $3.71	Professional		$2.12	$2.65	$3.71
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.47 / $3.71	Professional		$1.74	$2.47	$3.71