Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $15.37	Facility		$2.27	$2.27	$15.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $2.27 / $2.27	Professional		$1.34	$2.27	$2.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $8.99 / $17.07	Facility		$4.21	$8.99	$17.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $3.10 / $3.87	Professional		$2.83	$3.10	$3.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $4.01 / $4.92	Facility		$2.98	$4.01	$4.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.87 / $6.91	Professional		$3.13	$3.87	$6.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $4.22	Professional		$1.52	$1.52	$4.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.15 / $2.15 / $15.37	Facility		$2.15	$2.15	$15.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.15 / $3.58	Professional		$2.04	$2.15	$3.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $1.87 / $100.00	Professional		$1.87	$1.87	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $1.41 / $2.13	Professional		$1.06	$1.41	$2.13