Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $10.98 / $66.27	Facility		$5.79	$10.98	$66.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.79 / $6.51	Professional		$5.60	$5.79	$6.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $3.26 / $16.84	Professional		$2.60	$3.26	$16.84
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 $4.88 / $6.51 / $17.67	Facility		$4.88	$6.51	$17.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $6.51	Professional		$4.23	$4.23	$6.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.43 / $9.28	Professional		$5.01	$7.43	$9.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $17.48 / $84.55	Facility		$6.17	$17.48	$84.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $6.18 / $8.86	Professional		$5.60	$6.18	$8.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.85 / $5.39 / $7.27	Professional		$4.85	$5.39	$7.27
United Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $3.99 / $5.65	Professional		$2.73	$3.99	$5.65