Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.15 / $6.15 / $6.15	Facility		$6.15	$6.15	$6.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $6.15 / $6.15	Professional		$5.08	$6.15	$6.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $32.47 / $59.15	Facility		$16.30	$32.47	$59.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.77 / $14.54	Professional		$10.23	$10.77	$14.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.79 / $7.00 / $7.02	Facility		$6.79	$7.00	$7.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $8.61	Professional		$8.61	$8.61	$8.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $5.99 / $5.99	Facility		$5.99	$5.99	$5.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $8.94 / $15.47	Professional		$4.37	$8.94	$15.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.15 / $7.77 / $7.77	Facility		$6.15	$7.77	$7.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $7.77 / $11.30	Professional		$6.15	$7.77	$11.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $7.97 / $9.16	Professional		$6.77	$7.97	$9.16
United Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $5.07 / $7.70	Professional		$3.75	$5.07	$7.70