Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $3.33 / $99.06	Facility		$3.28	$3.33	$99.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.28 / $3.92	Professional		$3.19	$3.28	$3.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $7.08 / $13.40	Facility		$4.08	$7.08	$13.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.89 / $1.20	Professional		$0.85	$0.89	$1.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Facility		$2.06	$2.06	$2.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $2.59	Professional		$2.59	$2.59	$2.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $3.19 / $4.88	Facility		$3.19	$3.19	$4.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.19 / $11.19	Professional		$2.95	$3.19	$11.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $4.79 / $99.06	Facility		$2.92	$4.79	$99.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.28 / $3.85	Professional		$3.19	$3.28	$3.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.49 / $30.00	Professional		$2.12	$2.49	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $3.19 / $3.30	Professional		$1.28	$3.19	$3.30