Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $8.46 / $54.88	Facility		$5.83	$8.46	$54.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $5.83 / $7.45	Professional		$3.15	$5.83	$7.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.07 / $14.66	Professional		$3.07	$3.07	$14.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $7.22 / $12.21	Facility		$5.14	$7.22	$12.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $4.61 / $6.22	Professional		$3.13	$4.61	$6.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $6.14 / $15.40	Facility		$4.61	$6.14	$15.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $3.99 / $6.14	Professional		$3.99	$3.99	$6.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $7.02 / $8.77	Professional		$4.36	$7.02	$8.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $7.56 / $62.88	Facility		$5.83	$7.56	$62.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $7.36 / $8.69	Professional		$5.22	$7.36	$8.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $5.09 / $6.87	Professional		$4.58	$5.09	$6.87
United Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $3.93 / $4.92	Professional		$2.58	$3.93	$4.92