Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $5.56 / $33.72	Facility		$3.04	$5.56	$33.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.04 / $4.05	Professional		$2.95	$3.04	$4.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $6.56 / $12.40	Facility		$3.78	$6.56	$12.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.24 / $0.24	Professional		$0.23	$0.24	$0.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $4.04 / $4.04	Facility		$4.04	$4.04	$4.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.95 / $2.95	Professional		$2.10	$2.95	$2.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $5.74 / $28.64	Facility		$2.95	$5.74	$28.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.97 / $3.68	Professional		$2.95	$2.97	$3.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.39 / $3.80	Professional		$3.30	$3.39	$3.80
United Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.28 / $3.94	Professional		$2.95	$3.28	$3.94