Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $3.58 / $3.58	Facility		$3.58	$3.58	$3.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.99 / $3.58 / $3.58	Professional		$2.99	$3.58	$3.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $18.94 / $34.49	Facility		$9.51	$18.94	$34.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $6.28 / $8.48	Professional		$5.97	$6.28	$8.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $4.08 / $4.12	Facility		$3.98	$4.08	$4.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $3.51 / $3.51	Facility		$3.51	$3.51	$3.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $3.51 / $7.13	Professional		$3.51	$3.51	$7.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $4.53 / $4.53	Facility		$3.58	$4.53	$4.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $4.53 / $7.05	Professional		$3.58	$4.53	$7.05
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 Professional Modifier Low / Median / High Price $2.34 / $2.99 / $4.49	Professional		$2.34	$2.99	$4.49