Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.59 / $7.28 / $53.87	Facility		$6.59	$7.28	$53.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $6.57 / $7.30	Professional		$5.99	$6.57	$7.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $5.07 / $5.07	Professional		$5.07	$5.07	$5.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $8.56 / $14.52	Facility		$5.97	$8.56	$14.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $5.48 / $7.40	Professional		$3.73	$5.48	$7.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.48 / $7.30 / $19.82	Facility		$5.48	$7.30	$19.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $4.75 / $7.30	Professional		$4.75	$4.75	$7.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.67 / $10.84	Professional		$5.62	$8.67	$10.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.59 / $8.74 / $53.87	Facility		$6.59	$8.74	$53.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $7.66 / $10.19	Professional		$6.37	$7.66	$10.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $6.04 / $8.15	Professional		$5.43	$6.04	$8.15
United Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $6.01 / $6.28	Professional		$3.07	$6.01	$6.28