Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $67.86 / $195.12	Facility		$3.54	$67.86	$195.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.80 / $3.29	Professional		$2.73	$2.80	$3.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $6.05 / $11.30	Facility		$3.28	$6.05	$11.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $2.61 / $3.39	Professional		$2.38	$2.61	$3.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $2.99 / $4.08	Facility		$2.72	$2.99	$4.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.87 / $6.32	Professional		$2.73	$2.87	$6.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $3.95	Professional		$2.73	$2.73	$3.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $59.44 / $135.86	Facility		$4.09	$59.44	$135.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.80 / $4.63	Professional		$2.73	$2.80	$4.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $3.04 / $3.50	Professional		$2.73	$3.04	$3.50