Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Facility		$3.88	$3.88	$3.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.88 / $3.88	Professional		$2.50	$3.88	$3.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $5.09 / $5.09	Professional		$3.06	$5.09	$5.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.72 / $15.52 / $28.01	Facility		$7.72	$15.52	$28.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.09 / $6.89	Professional		$4.84	$5.09	$6.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $5.61 / $8.16	Facility		$3.32	$5.61	$8.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $6.63 / $7.14	Professional		$4.08	$6.63	$7.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $3.24	Facility		$3.06	$3.06	$3.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.74 / $3.22 / $4.23	Professional		$2.74	$3.22	$4.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.68 / $3.88 / $7.71	Facility		$3.68	$3.88	$7.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.87 / $5.72	Professional		$2.57	$3.87	$5.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.22 / $4.34	Professional		$2.57	$3.22	$4.34
United Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $2.39 / $3.65	Professional		$1.80	$2.39	$3.65