Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $7.36 / $65.08	Facility		$4.47	$7.36	$65.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $4.48 / $5.91	Professional		$3.66	$4.48	$5.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $12.79	Professional		$3.44	$3.44	$12.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $7.62 / $12.94	Facility		$5.45	$7.62	$12.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.73 / $1.08 / $1.46	Professional		$0.73	$1.08	$1.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $4.95 / $13.44	Facility		$3.71	$4.95	$13.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $4.95	Professional		$3.22	$3.22	$4.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.78 / $7.23	Professional		$3.80	$5.78	$7.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $7.19 / $62.71	Facility		$4.47	$7.19	$62.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.95 / $7.57	Professional		$4.23	$4.95	$7.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $4.09 / $5.53	Professional		$3.69	$4.09	$5.53
United Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $4.05 / $4.29	Professional		$2.08	$4.05	$4.29