Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.69 / $24.10 / $68.79	Facility		$7.69	$24.10	$68.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $7.05 / $8.09	Professional		$5.99	$7.05	$8.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $5.62 / $20.92	Professional		$4.05	$5.62	$20.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $9.48 / $16.07	Facility		$6.61	$9.48	$16.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.07 / $8.19	Professional		$4.13	$6.07	$8.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $8.09 / $21.97	Facility		$6.07	$8.09	$21.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $5.26 / $8.09	Professional		$5.26	$5.26	$8.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $9.50 / $11.87	Professional		$6.23	$9.50	$11.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7.69 / $22.34 / $99.19	Facility		$7.69	$22.34	$99.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $7.83 / $12.34	Professional		$6.78	$7.83	$12.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.70 / $9.04	Professional		$6.03	$6.70	$9.04
United Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $6.63 / $7.03	Professional		$3.40	$6.63	$7.03