Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.74 / $11.17 / $50.27	Facility		$5.74	$11.17	$50.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.46 / $8.31	Professional		$4.46	$5.46	$8.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $3.02 / $12.05	Professional		$2.42	$3.02	$12.05
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 $4.53 / $6.04 / $16.39	Facility		$4.53	$6.04	$16.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $3.93 / $6.04	Professional		$3.93	$3.93	$6.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $7.02 / $8.77	Professional		$4.63	$7.02	$8.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.74 / $12.53 / $53.82	Facility		$5.74	$12.53	$53.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.04 / $10.02	Professional		$5.25	$6.04	$10.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $5.00 / $6.75	Professional		$4.50	$5.00	$6.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.62 / $5.11	Professional		$2.54	$3.62	$5.11