Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $7.37 / $52.43	Facility		$5.45	$7.37	$52.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $5.18 / $5.66	Professional		$4.94	$5.18	$5.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $3.99 / $3.99	Professional		$3.99	$3.99	$3.99
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 $4.30 / $5.74 / $15.59	Facility		$4.30	$5.74	$15.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $3.73 / $5.74	Professional		$3.73	$3.73	$5.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $6.61 / $8.26	Professional		$4.42	$6.61	$8.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $7.66 / $62.48	Facility		$5.45	$7.66	$62.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.72 / $7.66	Professional		$5.01	$5.72	$7.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $4.76 / $6.42	Professional		$4.28	$4.76	$6.42
United Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $4.73 / $4.99	Professional		$2.41	$4.73	$4.99