Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $2.62 / $35.69	Facility		$1.38	$2.62	$35.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $2.54 / $2.62	Professional		$1.38	$2.54	$2.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $5.52 / $10.67	Facility		$3.02	$5.52	$10.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $0.85 / $1.11	Professional		$0.78	$0.85	$1.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $1.88 / $3.68	Facility		$1.34	$1.88	$3.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $2.54 / $5.89	Professional		$1.54	$2.54	$5.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $2.54 / $2.54	Professional		$1.39	$2.54	$2.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $2.69 / $35.69	Facility		$1.73	$2.69	$35.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $2.54 / $3.04	Professional		$1.38	$2.54	$3.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.67 / $3.17	Professional		$1.27	$1.67	$3.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $5.99 / $8.66	Professional		$2.54	$5.99	$8.66