Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $20.50 / $85.44	Facility		$6.55	$20.50	$85.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.14 / $6.89	Professional		$5.77	$6.14	$6.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $3.10 / $17.80	Professional		$2.76	$3.10	$17.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $8.08 / $13.69	Facility		$5.63	$8.08	$13.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $5.17 / $6.98	Professional		$3.52	$5.17	$6.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.17 / $6.89 / $18.70	Facility		$5.17	$6.89	$18.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $4.48 / $6.89	Professional		$4.48	$4.48	$6.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $7.85 / $9.81	Professional		$5.30	$7.85	$9.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $28.09 / $89.18	Facility		$6.55	$28.09	$89.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $6.89 / $12.37	Professional		$5.85	$6.89	$12.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.70 / $7.69	Professional		$5.13	$5.70	$7.69
United Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $4.41 / $5.98	Professional		$2.89	$4.41	$5.98