Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.44 / $3.16 / $143.15	Facility		$2.44	$3.16	$143.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.44 / $2.98	Professional		$2.37	$2.44	$2.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.03 / $5.27 / $9.96	Facility		$3.03	$5.27	$9.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $0.82 / $0.82	Professional		$0.78	$0.82	$0.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.25 / $3.25	Facility		$3.25	$3.25	$3.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $3.74	Professional		$2.37	$2.37	$3.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $3.56 / $125.42	Facility		$2.37	$3.56	$125.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.44 / $2.98	Professional		$2.37	$2.44	$2.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.72 / $2.82	Professional		$1.84	$2.72	$2.82
United Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $2.37 / $2.37	Facility		$2.37	$2.37	$2.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $2.50	Professional		$2.37	$2.37	$2.50