Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $8.03 / $64.80	Facility		$5.29	$8.03	$64.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.18 / $5.29 / $6.51	Professional		$4.18	$5.29	$6.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $6.54 / $11.09	Facility		$4.55	$6.54	$11.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $4.18 / $5.64	Professional		$2.84	$4.18	$5.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $5.57 / $15.13	Facility		$4.18	$5.57	$15.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $3.62 / $5.57	Professional		$3.62	$3.62	$5.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $6.20 / $7.74	Professional		$4.29	$6.20	$7.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $8.13 / $60.39	Facility		$5.29	$8.13	$60.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.47 / $6.68	Professional		$4.79	$5.47	$6.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.14 / $4.61 / $6.22	Professional		$4.14	$4.61	$6.22
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.34 / $3.57	Professional		$2.34	$3.34	$3.57