Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $31.00 / $50.35	Facility		$4.05	$31.00	$50.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $3.84 / $4.70	Professional		$2.62	$3.84	$4.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Professional		$2.14	$2.14	$2.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $4.88 / $9.76	Facility		$3.48	$4.88	$9.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.20 / $4.32	Professional		$3.04	$3.20	$4.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $4.26 / $10.43	Facility		$3.20	$4.26	$10.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $2.78 / $4.26	Professional		$2.78	$2.78	$4.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $4.96 / $6.20	Professional		$2.72	$4.96	$6.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $9.19 / $53.57	Facility		$4.05	$9.19	$53.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $4.26 / $6.40	Professional		$3.10	$4.26	$6.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $3.53 / $4.76	Professional		$3.17	$3.53	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $4.84 / $5.08	Professional		$2.18	$4.84	$5.08