Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $6.66 / $6.66	Facility		$6.66	$6.66	$6.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $6.66 / $6.66	Professional		$5.68	$6.66	$6.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $8.74 / $8.74	Professional		$5.68	$8.74	$8.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $26.36 / $48.00	Facility		$13.23	$26.36	$48.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.74 / $11.80	Professional		$8.30	$8.74	$11.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $6.72 / $6.72	Facility		$6.68	$6.72	$6.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $8.22 / $8.22	Professional		$8.22	$8.22	$8.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.18 / $6.18 / $6.54	Facility		$6.18	$6.18	$6.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.18 / $7.27	Professional		$5.25	$6.18	$7.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.32 / $6.66 / $7.90	Facility		$6.32	$6.66	$7.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $6.66 / $9.17	Professional		$5.24	$6.66	$9.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $5.52 / $7.43	Professional		$4.41	$5.52	$7.43
United Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $4.18 / $6.25	Professional		$3.64	$4.18	$6.25