Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $4.63 / $4.63	Facility		$4.63	$4.63	$4.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $4.63 / $4.63	Professional		$3.36	$4.63	$4.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $6.09 / $6.09	Professional		$6.09	$6.09	$6.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $18.53 / $33.45	Facility		$9.22	$18.53	$33.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $6.09 / $8.22	Professional		$5.79	$6.09	$8.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $3.96 / $3.96	Facility		$3.96	$3.96	$3.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Professional		$4.87	$4.87	$4.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.66 / $3.66 / $3.88	Facility		$3.66	$3.66	$3.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $3.82 / $5.07	Professional		$3.25	$3.82	$5.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.41 / $4.73	Facility		$4.26	$4.41	$4.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $4.63 / $6.39	Professional		$3.66	$4.63	$6.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $3.82 / $5.18	Professional		$3.05	$3.82	$5.18
United Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.37 / $3.29	Facility		$2.06	$2.37	$3.29
United Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.87 / $4.36	Professional		$2.02	$2.87	$4.36