Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $80.00 / $268.02	Facility		$1.59	$80.00	$268.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.52 / $2.21	Professional		$1.47	$1.52	$2.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $2.23 / $3.97	Facility		$1.62	$2.23	$3.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $1.50 / $1.80	Professional		$1.42	$1.50	$1.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.47 / $1.47 / $2.21	Facility		$1.47	$1.47	$2.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $2.09 / $3.43	Professional		$1.47	$2.09	$3.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $3.13	Professional		$1.48	$1.48	$3.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $79.40 / $291.38	Facility		$1.52	$79.40	$291.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $2.02	Professional		$1.48	$1.48	$2.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.61 / $2.64	Professional		$1.47	$1.61	$2.64
United Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $1.60	Professional		$1.48	$1.48	$1.60