Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $5.81 / $5.81	Facility		$5.81	$5.81	$5.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $5.81 / $5.81	Professional		$3.44	$5.81	$5.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $4.95	Professional		$4.57	$4.57	$4.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $23.18 / $41.85	Facility		$11.53	$23.18	$41.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.62 / $10.29	Professional		$7.24	$7.62	$10.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $7.62 / $11.32	Facility		$0.66	$7.62	$11.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $9.91 / $10.67	Professional		$6.10	$9.91	$10.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.35 / $5.40 / $5.40	Facility		$5.35	$5.40	$5.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $5.40 / $6.35	Professional		$3.62	$5.40	$6.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.70 / $0.78 / $5.81	Facility		$0.70	$0.78	$5.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $5.80 / $7.86	Professional		$2.52	$5.80	$7.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $3.62 / $5.06	Professional		$2.89	$3.62	$5.06
United Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.65 / $5.46	Professional		$2.98	$3.65	$5.46