Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $0.72 / $2.09	Facility		$0.67	$0.72	$2.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.72 / $0.79	Professional		$0.67	$0.72	$0.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $1.59 / $2.89	Facility		$0.85	$1.59	$2.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.04 / $2.04	Professional		$1.95	$2.04	$2.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $0.96 / $0.96	Facility		$0.96	$0.96	$0.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $2.09	Professional		$0.70	$0.70	$2.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $1.17 / $2.77	Facility		$0.70	$1.17	$2.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.70 / $0.84	Professional		$0.67	$0.70	$0.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $0.74	Professional		$0.70	$0.70	$0.74