Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $10.33 / $13.01	Facility		$3.47	$10.33	$13.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $10.33 / $10.84	Professional		$6.11	$10.33	$10.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.69 / $40.92 / $77.78	Facility		$19.69	$40.92	$77.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $14.11 / $17.64	Professional		$12.89	$14.11	$17.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $18.32 / $22.39	Facility		$13.57	$18.32	$22.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $17.64 / $31.46	Professional		$14.25	$17.64	$31.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $6.93 / $19.69	Professional		$6.93	$6.93	$19.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $10.33 / $13.01	Facility		$3.47	$10.33	$13.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $9.78 / $16.28	Professional		$9.38	$9.78	$16.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $9.77 / $15.30	Professional		$8.50	$9.77	$15.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.37 / $9.69	Professional		$4.80	$6.37	$9.69