Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $14.23 / $44.10	Facility		$7.86	$14.23	$44.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $7.63 / $7.94	Professional		$5.52	$7.63	$7.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $16.98 / $31.69	Facility		$8.86	$16.98	$31.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $7.82 / $10.15	Professional		$7.14	$7.82	$10.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $7.52 / $11.06	Facility		$5.36	$7.52	$11.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $7.63 / $17.70	Professional		$6.16	$7.63	$17.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.63 / $9.26	Professional		$7.63	$7.63	$9.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7.63 / $14.23 / $44.10	Facility		$7.63	$14.23	$44.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $7.63 / $9.86	Professional		$5.52	$7.63	$9.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.63 / $8.57	Professional		$7.63	$7.63	$8.57