Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.15 / $15.65 / $75.48	Facility		$6.15	$15.65	$75.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $5.65 / $7.57	Professional		$4.53	$5.65	$7.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.24 / $16.73	Professional		$2.59	$3.24	$16.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $7.58 / $12.85	Facility		$5.28	$7.58	$12.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $4.84 / $6.55	Professional		$3.30	$4.84	$6.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $6.47 / $17.57	Facility		$4.84	$6.47	$17.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $6.47	Professional		$4.21	$4.21	$6.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $7.43 / $9.28	Professional		$4.98	$7.43	$9.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.15 / $16.89 / $73.12	Facility		$6.15	$16.89	$73.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.15 / $12.21	Professional		$5.05	$6.15	$12.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.81 / $5.35 / $7.22	Professional		$4.81	$5.35	$7.22
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.97 / $5.62	Professional		$2.72	$3.97	$5.62