Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $7.45 / $40.29	Facility		$4.09	$7.45	$40.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.69 / $7.13	Professional		$4.40	$4.69	$7.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $3.59 / $12.05	Professional		$2.06	$3.59	$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 $3.89 / $5.18 / $14.05	Facility		$3.89	$5.18	$14.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.37 / $5.18	Professional		$3.37	$3.37	$5.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.78 / $7.23	Professional		$3.98	$5.78	$7.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $7.98 / $46.00	Facility		$4.91	$7.98	$46.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.18 / $7.92	Professional		$4.51	$5.18	$7.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $4.29 / $5.79	Professional		$3.86	$4.29	$5.79
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.17 / $4.49	Professional		$2.18	$3.17	$4.49