Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.60 / $6.08 / $66.12	Facility		$2.60	$6.08	$66.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.54 / $2.61	Professional		$2.02	$2.54	$2.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $5.64 / $10.67	Facility		$3.25	$5.64	$10.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.59 / $0.59	Professional		$0.56	$0.59	$0.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Facility		$3.47	$3.47	$3.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $2.54 / $6.73	Professional		$0.22	$2.54	$6.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $4.82 / $66.08	Facility		$2.54	$4.82	$66.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.54 / $3.04	Professional		$2.02	$2.54	$3.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $2.25 / $2.92	Professional		$1.18	$2.25	$2.92
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.69	Professional		$2.54	$2.54	$2.69