Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $38.94 / $41.54	Facility		$6.61	$38.94	$41.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $6.03 / $19.78	Professional		$4.46	$6.03	$19.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $5.51 / $14.25 / $14.25	Professional	25	$5.51	$14.25	$14.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $4.43 / $6.35	Professional		$3.53	$4.43	$6.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $18.55 / $33.96	Facility		$6.98	$18.55	$33.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $7.33 / $9.42	Professional		$6.63	$7.33	$9.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $4.16 / $5.82	Facility		$3.02	$4.16	$5.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $4.84 / $9.41	Professional		$4.03	$4.84	$9.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.00 / $7.53	Professional		$3.00	$4.00	$7.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $20.91 / $41.54	Facility		$5.01	$20.91	$41.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $5.44 / $20.54	Professional		$4.55	$5.44	$20.54
Health Alliance Plan Facility/Professional Professional Modifier 25 Low / Median / High Price $4.94 / $4.94 / $14.25	Professional	25	$4.94	$4.94	$14.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.53 / $2.98 / $30.00	Professional		$2.53	$2.98	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $5.92 / $8.02	Professional		$4.99	$5.92	$8.02