Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $13.80 / $56.22	Facility		$4.08	$13.80	$56.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.53 / $4.70	Professional		$3.22	$3.53	$4.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $1.93 / $10.14	Professional		$1.72	$1.93	$10.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $4.91 / $9.82	Facility		$3.59	$4.91	$9.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.29 / $5.79	Professional		$3.22	$4.29	$5.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $4.29 / $10.68	Facility		$3.22	$4.29	$10.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $4.29	Professional		$2.79	$2.79	$4.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.96 / $6.20	Professional		$3.02	$4.96	$6.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $16.05 / $62.99	Facility		$4.08	$16.05	$62.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.29 / $7.18	Professional		$3.50	$4.29	$7.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.55 / $4.79	Professional		$3.19	$3.55	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $4.29 / $5.62	Professional		$2.41	$4.29	$5.62