Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $3.63 / $29.45	Facility		$2.89	$3.63	$29.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.76 / $3.64	Professional		$2.65	$2.76	$3.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $7.50 / $7.50	Professional		$7.50	$7.50	$7.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.56 / $3.48 / $8.28	Facility		$2.56	$3.48	$8.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.05 / $4.12	Professional		$2.29	$3.05	$4.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $3.05 / $8.27	Facility		$2.29	$3.05	$8.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $1.98 / $3.05	Professional		$1.98	$1.98	$3.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.39 / $4.13	Professional		$2.34	$3.39	$4.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $3.92 / $43.69	Facility		$2.89	$3.92	$43.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.54 / $4.51	Professional		$2.72	$3.54	$4.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.52 / $3.41	Professional		$2.27	$2.52	$3.41
United Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $3.05 / $4.34	Professional		$1.83	$3.05	$4.34