Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $10.33 / $10.33	Facility		$1.78	$10.33	$10.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $10.33 / $10.33	Professional		$6.58	$10.33	$10.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $13.57 / $13.57	Professional		$8.14	$13.57	$13.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $41.29 / $74.53	Facility		$20.54	$41.29	$74.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $13.57 / $18.32	Professional		$12.89	$13.57	$18.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $13.57 / $20.16	Facility		$3.80	$13.57	$20.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $16.14 / $19.00	Professional		$10.86	$16.14	$19.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $8.15 / $10.07	Facility		$5.40	$8.15	$10.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $8.15 / $11.28	Professional		$5.40	$8.15	$11.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $4.47 / $9.78	Facility		$1.78	$4.47	$9.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $10.33 / $13.94	Professional		$5.14	$10.33	$13.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $6.43 / $9.00	Professional		$5.14	$6.43	$9.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $6.37 / $9.59	Professional		$4.50	$6.37	$9.59