Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $17.67 / $78.31	Facility		$5.25	$17.67	$78.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.58 / $6.53	Professional		$1.95	$2.58	$6.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $4.33 / $8.19	Facility		$2.49	$4.33	$8.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.45 / $0.45	Professional		$0.43	$0.45	$0.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.67 / $2.67 / $2.67	Facility		$2.67	$2.67	$2.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $1.95 / $2.50	Professional		$0.42	$1.95	$2.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $17.18 / $86.72	Facility		$4.11	$17.18	$86.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.34 / $25.00	Professional		$1.95	$2.34	$25.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.62 / $2.84	Professional		$2.24	$2.62	$2.84
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Professional		$1.95	$1.95	$1.95