Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $5.42 / $5.42	Facility		$5.42	$5.42	$5.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $5.42 / $5.42	Professional		$3.32	$5.42	$5.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $7.12 / $7.12	Professional		$4.09	$7.12	$7.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $21.47 / $39.11	Facility		$10.78	$21.47	$39.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.12 / $9.61	Professional		$6.76	$7.12	$9.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $7.12 / $10.58	Facility		$4.33	$7.12	$10.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $9.26 / $9.97	Professional		$5.70	$9.26	$9.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $4.28 / $4.53	Facility		$4.28	$4.28	$4.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $4.29 / $5.92	Professional		$3.65	$4.29	$5.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $5.15 / $5.42	Facility		$4.58	$5.15	$5.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $5.35 / $7.31	Professional		$3.00	$5.35	$7.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.29 / $6.00	Professional		$3.43	$4.29	$6.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $3.35 / $5.09	Professional		$2.36	$3.35	$5.09