Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $2.27 / $1,486.48	Facility		$1.12	$2.27	$1,486.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.14 / $2,092.19	Professional		$1.11	$1.14	$2,092.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $2.62 / $4.84	Facility		$1.48	$2.62	$4.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.17 / $1.17	Professional		$1.11	$1.17	$1.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.52 / $1.52	Facility		$1.52	$1.52	$1.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.12	Professional		$1.11	$1.11	$1.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.11 / $2.06 / $1,075.66	Facility		$1.11	$2.06	$1,075.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.13 / $2.27	Professional		$1.11	$1.13	$2.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.29 / $1.31	Professional		$1.27	$1.29	$1.31
United Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.11 / $1.18	Professional		$1.11	$1.11	$1.18