Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $2.58 / $2.58	Facility		$2.58	$2.58	$2.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $2.58 / $2.58	Professional		$1.87	$2.58	$2.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $10.22 / $18.62	Facility		$5.13	$10.22	$18.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.39 / $4.58	Professional		$3.22	$3.39	$4.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $2.20 / $2.20	Facility		$2.20	$2.20	$2.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $2.71 / $2.71	Professional		$2.71	$2.71	$2.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $2.04 / $2.04	Facility		$1.80	$2.04	$2.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $2.04 / $2.82	Professional		$1.80	$2.04	$2.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.44 / $2.58 / $15.35	Facility		$2.44	$2.58	$15.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.58 / $4.05	Professional		$1.71	$2.58	$4.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.14 / $2.88	Professional		$1.71	$2.14	$2.88
United Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.59 / $2.40	Professional		$1.20	$1.59	$2.40