Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $5.71 / $661.95	Facility		$1.69	$5.71	$661.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.77 / $575.02	Professional		$1.64	$1.77	$575.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $3.79 / $6.90	Facility		$2.02	$3.79	$6.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.67 / $1.67	Professional		$1.59	$1.67	$1.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Facility		$2.24	$2.24	$2.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $2.25	Professional		$1.64	$1.64	$2.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $4.20 / $661.95	Facility		$1.64	$4.20	$661.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.72 / $3.57	Professional		$1.64	$1.72	$3.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.96 / $2.03	Professional		$1.88	$1.96	$2.03
United Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.64 / $1.64	Facility		$1.64	$1.64	$1.64
United Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $1.97	Professional		$1.64	$1.64	$1.97