Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $16.14 / $129.00	Facility		$2.84	$16.14	$129.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.69 / $3.29	Professional		$2.33	$2.69	$3.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.08 / $7.72	Professional		$2.08	$2.08	$7.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $5.24 / $11.07	Facility		$2.84	$5.24	$11.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $2.24 / $3.02	Professional		$1.52	$2.24	$3.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.99 / $8.11	Facility		$2.24	$2.99	$8.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $1.94 / $2.99	Professional		$1.94	$1.94	$2.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.30 / $4.13	Professional		$2.29	$3.30	$4.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $21.28 / $120.25	Facility		$2.84	$21.28	$120.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.99 / $5.62	Professional		$2.60	$2.99	$5.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.47 / $3.33	Professional		$2.22	$2.47	$3.33
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.46 / $2.59	Professional		$1.26	$2.46	$2.59