Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.94 / $16.69	Facility		$0.11	$0.94	$16.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.12	Professional		$0.02	$0.03	$0.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $4.09	Facility		$0.02	$0.05	$4.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.48	Facility		$0.02	$0.02	$0.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.42	Professional		$0.02	$0.02	$0.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.04 / $0.05	Professional		$0.02	$0.04	$0.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.44 / $16.69	Facility		$0.03	$0.44	$16.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $2.00	Professional		$0.02	$0.03	$2.00
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 $0.02 / $4.38 / $5.15	Professional		$0.02	$4.38	$5.15