Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.43 / $5.43 / $5.43	Facility		$5.43	$5.43	$5.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $4.55 / $5.43	Professional		$3.71	$4.55	$5.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.49 / $25.49 / $33.38	Facility		$25.49	$25.49	$33.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.95 / $9.38	Professional		$6.60	$6.95	$9.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.46 / $3.85 / $5.11	Facility		$0.46	$3.85	$5.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $4.17 / $6.29	Professional		$0.56	$4.17	$6.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.20 / $4.20 / $5.51	Facility		$4.20	$4.20	$5.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $5.20 / $6.03	Professional		$4.20	$5.20	$6.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $5.43 / $7.49	Professional		$0.56	$5.43	$7.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $3.73 / $6.03	Professional		$0.49	$3.73	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.89 / $6.40	Professional		$2.54	$3.89	$6.40