Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $21.83 / $99.12	Facility		$6.47	$21.83	$99.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $16.93	Professional		$0.08	$0.09	$16.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.22 / $0.49	Facility		$0.10	$0.22	$0.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Professional		$0.04	$0.04	$0.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Facility		$0.12	$0.12	$0.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.11	Professional		$0.09	$0.09	$0.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $18.57 / $101.34	Facility		$3.39	$18.57	$101.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $33.85	Professional		$0.09	$0.09	$33.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10
United Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.10	Professional		$0.09	$0.09	$0.10