Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.15 / $3.48	Facility		$0.10	$0.15	$3.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $0.13	Professional		$0.10	$0.12	$0.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.39 / $0.74	Facility		$0.19	$0.39	$0.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.97 / $2.66	Facility		$1.70	$1.97	$2.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.87 / $3.87	Professional		$1.70	$1.87	$3.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.46	Professional		$0.13	$0.13	$0.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.20 / $2.38	Facility		$0.12	$0.20	$2.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.14 / $0.16	Professional		$0.10	$0.14	$0.16
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 $0.13 / $0.13 / $0.14	Professional		$0.13	$0.13	$0.14