Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $20.65 / $61.07	Facility		$4.91	$20.65	$61.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.86 / $3.08	Professional		$0.80	$0.86	$3.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $1.84 / $3.35	Facility		$0.96	$1.84	$3.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.17 / $0.17	Professional		$0.16	$0.17	$0.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Facility		$1.10	$1.10	$1.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.84	Professional		$0.80	$0.80	$0.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $17.52 / $76.05	Facility		$2.20	$17.52	$76.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.86 / $4.23	Professional		$0.80	$0.86	$4.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $0.95 / $0.96	Professional		$0.92	$0.95	$0.96
United Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.85	Professional		$0.80	$0.80	$0.85