Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $1.50 / $1.50	Facility		$1.50	$1.50	$1.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.50 / $1.50	Professional		$1.25	$1.50	$1.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $8.00 / $14.45	Facility		$3.98	$8.00	$14.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.63 / $3.55	Professional		$2.50	$2.63	$3.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $1.71 / $1.72	Facility		$1.65	$1.71	$1.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Professional		$2.10	$2.10	$2.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $2.08 / $2.08	Facility		$2.08	$2.08	$2.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.08 / $3.00	Professional		$2.08	$2.08	$3.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $1.91 / $1.91	Facility		$1.50	$1.91	$1.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.91 / $2.96	Professional		$1.50	$1.91	$2.96
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 Facility Modifier Low / Median / High Price $1.06 / $1.56 / $1.81	Facility		$1.06	$1.56	$1.81
United Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $1.26 / $1.86	Professional		$0.98	$1.26	$1.86