Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.17 / $11.15	Facility		$0.17	$0.17	$11.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.56	Professional		$0.17	$0.17	$0.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.39 / $0.72	Facility		$0.20	$0.39	$0.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.11	Professional		$0.08	$0.08	$0.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.13	Professional		$0.13	$0.13	$0.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.17 / $0.36	Facility		$0.17	$0.17	$0.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.36	Professional		$0.17	$0.17	$0.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.33 / $6.74	Facility		$0.17	$0.33	$6.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.17 / $0.33	Professional		$0.17	$0.17	$0.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.18 / $30.00	Professional		$0.15	$0.18	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.17 / $0.19	Professional		$0.13	$0.17	$0.19