Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $17.52 / $69.45	Facility		$5.71	$17.52	$69.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $5.24 / $6.01	Professional		$4.93	$5.24	$6.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $15.50	Professional		$2.40	$2.40	$15.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $7.06 / $11.96	Facility		$4.91	$7.06	$11.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $4.51 / $6.09	Professional		$3.07	$4.51	$6.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $6.01 / $16.30	Facility		$4.51	$6.01	$16.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $3.91 / $6.01	Professional		$3.91	$3.91	$6.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $7.02 / $8.77	Professional		$4.62	$7.02	$8.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $20.39 / $72.04	Facility		$5.71	$20.39	$72.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.01 / $9.18	Professional		$5.13	$6.01	$9.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $4.98 / $6.72	Professional		$4.48	$4.98	$6.72
United Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $6.01 / $6.01	Facility		$3.01	$6.01	$6.01
United Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.85 / $5.21	Professional		$2.52	$3.85	$5.21