Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.99 / $4.99 / $4.99	Facility		$4.99	$4.99	$4.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $4.99 / $4.99	Professional		$3.62	$4.99	$4.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $19.75 / $35.97	Facility		$9.91	$19.75	$35.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $6.55 / $8.84	Professional		$6.22	$6.55	$8.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Professional		$5.24	$5.24	$5.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $3.94 / $4.86	Facility		$3.94	$3.94	$4.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.94 / $5.45	Professional		$3.23	$3.94	$5.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.73 / $4.73 / $4.99	Facility		$4.73	$4.73	$4.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $4.99 / $6.87	Professional		$3.71	$4.99	$6.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $3.23 / $4.52	Professional		$2.58	$3.23	$4.52
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.07 / $4.68	Professional		$2.18	$3.07	$4.68