Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $63.73 / $514.57	Facility		$4.96	$63.73	$514.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $68.09 / $177.45	Professional		$9.02	$68.09	$177.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.63 / $11.46	Professional		$2.09	$3.63	$11.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $6.12 / $11.07	Facility		$4.26	$6.12	$11.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $3.92 / $5.29	Professional		$2.67	$3.92	$5.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $5.22 / $14.18	Facility		$3.92	$5.22	$14.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $5.22	Professional		$3.39	$3.39	$5.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $5.78 / $7.23	Professional		$3.37	$5.78	$7.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $43.40 / $463.67	Facility		$4.96	$43.40	$463.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $9.30 / $130.50	Professional		$4.96	$9.30	$130.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $4.32 / $5.83	Professional		$3.88	$4.32	$5.83
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $4.30 / $6.79	Professional		$2.19	$4.30	$6.79