Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $6.92 / $42.79	Facility		$5.12	$6.92	$42.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.12 / $9.69	Professional		$4.69	$5.12	$9.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $13.88 / $13.88	Professional		$13.88	$13.88	$13.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $6.31 / $11.07	Facility		$4.40	$6.31	$11.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $4.04 / $5.45	Professional		$2.75	$4.04	$5.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $5.39 / $14.64	Facility		$4.04	$5.39	$14.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $5.39	Professional		$3.50	$3.50	$5.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.20 / $7.74	Professional		$4.13	$6.20	$7.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $7.15 / $45.45	Facility		$5.12	$7.15	$45.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.46 / $9.69	Professional		$4.80	$6.46	$9.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.46 / $6.02	Professional		$4.01	$4.46	$6.02
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $4.30 / $4.67	Professional		$2.25	$4.30	$4.67