Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $7.45 / $13.04	Facility		$7.45	$7.45	$13.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $7.45 / $7.91	Professional		$7.45	$7.45	$7.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.78 / $14.91 / $28.20	Facility		$7.78	$14.91	$28.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.30 / $1.37	Professional		$0.94	$1.30	$1.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.12	Professional		$1.12	$1.12	$1.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $7.91 / $7.91	Professional		$7.91	$7.91	$7.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.94 / $9.27 / $20.73	Facility		$1.94	$9.27	$20.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $2.31 / $7.91	Professional		$1.94	$2.31	$7.91
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 Facility Modifier Low / Median / High Price $0.12 / $4.69 / $11.03	Facility		$0.12	$4.69	$11.03
United Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $9.77 / $9.98	Professional		$7.51	$9.77	$9.98