Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $21.49 / $59.85	Facility		$5.49	$21.49	$59.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.13 / $6.91	Professional		$4.34	$5.13	$6.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.85 / $14.54	Professional		$2.31	$3.85	$14.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $6.62 / $11.50	Facility		$4.72	$6.62	$11.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.34 / $5.86	Professional		$4.12	$4.34	$5.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $5.78 / $15.69	Facility		$4.34	$5.78	$15.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $3.76 / $5.78	Professional		$3.76	$3.76	$5.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $6.61 / $8.26	Professional		$4.45	$6.61	$8.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $20.03 / $78.63	Facility		$5.49	$20.03	$78.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.78 / $10.96	Professional		$4.47	$5.78	$10.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.78 / $6.45	Professional		$4.30	$4.78	$6.45
United Facility/Professional Facility Modifier Low / Median / High Price $2.43 / $5.20 / $6.94	Facility		$2.43	$5.20	$6.94
United Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $4.59 / $4.88	Professional		$2.43	$4.59	$4.88