Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $7.70 / $66.12	Facility		$3.20	$7.70	$66.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.21 / $3.68	Professional		$3.11	$3.21	$3.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $6.93 / $13.11	Facility		$3.99	$6.93	$13.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.97 / $1.02 / $1.02	Professional		$0.97	$1.02	$1.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $4.25 / $4.25	Facility		$4.25	$4.25	$4.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.11 / $3.76	Professional		$2.52	$3.11	$3.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $7.61 / $52.78	Facility		$3.11	$7.61	$52.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.13 / $3.73	Professional		$3.11	$3.13	$3.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $3.57 / $4.18	Professional		$3.49	$3.57	$4.18
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11