Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $9.19 / $57.55	Facility		$4.37	$9.19	$57.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $8.00 / $8.90	Professional		$7.65	$8.00	$8.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $22.98 / $22.98	Professional		$22.98	$22.98	$22.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.27 / $10.44 / $17.69	Facility		$7.27	$10.44	$17.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $6.68 / $9.02	Professional		$6.35	$6.68	$9.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $8.90 / $24.17	Facility		$6.68	$8.90	$24.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $5.79 / $8.90	Professional		$5.79	$5.79	$8.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $10.33 / $12.91	Professional		$6.84	$10.33	$12.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.93 / $9.19 / $85.96	Facility		$2.93	$9.19	$85.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $8.90 / $12.11	Professional		$7.65	$8.90	$12.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $7.37 / $9.94	Professional		$6.63	$7.37	$9.94
United Facility/Professional Facility Modifier Low / Median / High Price $8.90 / $8.90 / $15.12	Facility		$8.90	$8.90	$15.12
United Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $7.33 / $7.72	Professional		$3.74	$7.33	$7.72