Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $7.70 / $46.67	Facility		$4.18	$7.70	$46.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.71 / $7.21	Professional		$4.54	$4.71	$7.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $3.68 / $12.05	Professional		$2.12	$3.68	$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 $3.98 / $5.30 / $14.39	Facility		$3.98	$5.30	$14.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $5.30	Professional		$3.45	$3.45	$5.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.78 / $7.23	Professional		$4.07	$5.78	$7.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.04 / $8.36 / $49.88	Facility		$5.04	$8.36	$49.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $5.30 / $7.78	Professional		$4.54	$5.30	$7.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $4.38 / $5.92	Professional		$3.95	$4.38	$5.92
United Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $4.30 / $7.34	Professional		$2.23	$4.30	$7.34