Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.88 / $53.70	Facility		$7.76	$12.88	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $18.20	Professional		$6.03	$7.08	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Professional		$4.27	$4.27	$4.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $9.33 / $16.22	Facility		$6.17	$9.33	$16.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.17 / $6.17	Professional		$5.75	$6.17	$6.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $22.91	Facility		$8.51	$8.51	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.55 / $11.75	Professional		$5.75	$9.55	$11.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.59 / $57.54	Facility		$7.76	$12.59	$57.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.08 / $11.22	Professional		$4.79	$7.08	$11.22
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.46 / $10.00	Professional		$5.13	$6.46	$10.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $8.13 / $9.77	Facility		$4.90	$8.13	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $9.12	Professional		$3.02	$5.01	$9.12