Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $28.48 / $111.98	Facility		$9.27	$28.48	$111.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $9.27 / $9.94	Professional		$3.34	$9.27	$9.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $6.11 / $12.73	Professional		$6.11	$6.11	$12.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $16.57 / $35.97	Facility		$9.19	$16.57	$35.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $7.33 / $9.90	Professional		$4.98	$7.33	$9.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $9.77 / $23.87	Facility		$7.33	$9.77	$23.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $6.35 / $9.77	Professional		$6.35	$6.35	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $11.15 / $13.94	Professional		$7.85	$11.15	$13.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $33.88 / $111.98	Facility		$9.27	$33.88	$111.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $9.93 / $17.59	Professional		$3.47	$9.93	$17.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $8.09 / $10.92	Professional		$7.28	$8.09	$10.92
United Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $6.62 / $11.03	Professional		$3.42	$6.62	$11.03