Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.01 / $5.01	Professional		$3.09	$5.01	$5.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $19.84 / $36.14	Facility		$9.96	$19.84	$36.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.58 / $8.88	Professional		$6.25	$6.58	$8.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $3.96 / $3.96	Facility		$3.96	$3.96	$3.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $4.38 / $7.50	Professional		$3.96	$4.38	$7.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $5.01	Facility		$4.76	$4.76	$5.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $5.01 / $7.56	Professional		$4.04	$5.01	$7.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $5.59 / $30.00	Professional		$2.66	$5.59	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.04 / $4.43	Professional		$2.19	$3.04	$4.43