Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $3.76 / $11.73	Facility		$3.75	$3.76	$11.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $3.76 / $4.00	Professional		$3.76	$3.76	$4.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $8.68 / $16.41	Facility		$4.53	$8.68	$16.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.93 / $1.26	Professional		$0.90	$0.93	$1.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.76 / $0.76	Professional		$0.76	$0.76	$0.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $5.18 / $10.46	Facility		$3.75	$5.18	$10.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $4.45 / $5.64	Professional		$3.76	$4.45	$5.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,500.00	Professional		$30.00	$30.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $6.36 / $6.49	Professional		$2.54	$6.36	$6.49