Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $7.59 / $38.95	Facility		$2.25	$7.59	$38.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.15 / $5.19	Professional		$2.06	$2.15	$5.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $2.37 / $6.11	Professional		$1.64	$2.37	$6.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $2.78 / $6.45	Facility		$2.12	$2.78	$6.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.37 / $3.20	Professional		$1.78	$2.37	$3.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $2.37 / $6.43	Facility		$1.78	$2.37	$6.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $1.54 / $2.37	Professional		$1.54	$1.54	$2.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.63 / $3.10	Professional		$1.82	$2.63	$3.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $6.90 / $38.95	Facility		$2.25	$6.90	$38.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.81 / $5.42	Professional		$2.11	$2.81	$5.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.96 / $2.64	Professional		$1.76	$1.96	$2.64
United Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $3.21 / $3.39	Professional		$1.42	$3.21	$3.39