Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $9.61 / $9.84	Facility		$9.61	$9.61	$9.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $9.61 / $9.61	Professional		$6.97	$9.61	$9.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $12.63 / $12.63	Professional		$12.63	$12.63	$12.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.12 / $38.43 / $69.37	Facility		$19.12	$38.43	$69.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.63 / $17.05	Professional		$12.00	$12.63	$17.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $8.21 / $8.21	Facility		$8.21	$8.21	$8.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $10.10 / $10.10	Professional		$10.10	$10.10	$10.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $8.03	Facility		$7.59	$7.59	$8.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $7.98 / $10.50	Professional		$6.78	$7.98	$10.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $9.13 / $9.61	Facility		$8.03	$9.13	$9.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $9.61 / $13.26	Professional		$7.18	$9.61	$13.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $7.98 / $10.74	Professional		$6.38	$7.98	$10.74
United Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $5.78 / $8.72	Professional		$4.20	$5.78	$8.72