Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $20.12 / $64.40	Facility		$5.29	$20.12	$64.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.93 / $6.23	Professional		$4.78	$4.93	$6.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $10.65 / $20.14	Facility		$5.91	$10.65	$20.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.38 / $2.38	Professional		$2.25	$2.38	$2.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.54 / $6.54 / $6.54	Facility		$6.54	$6.54	$6.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $9.26	Professional		$4.78	$4.78	$9.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.93 / $16.50 / $64.40	Facility		$4.93	$16.50	$64.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.93 / $6.45	Professional		$4.78	$4.93	$6.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $5.76 / $5.89	Professional		$5.49	$5.76	$5.89
United Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.88	Professional		$4.78	$4.78	$4.88