Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.32 / $9.32 / $9.32	Facility		$9.32	$9.32	$9.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $9.32 / $9.32	Professional		$5.71	$9.32	$9.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $12.24 / $12.24	Professional		$7.04	$12.24	$12.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $36.90 / $67.23	Facility		$18.53	$36.90	$67.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $12.24 / $16.52	Professional		$11.63	$12.24	$16.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.84 / $12.24 / $18.18	Facility		$7.84	$12.24	$18.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $15.91 / $17.14	Professional		$9.78	$15.91	$17.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.35 / $7.35 / $7.79	Facility		$7.35	$7.35	$7.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $7.57 / $10.18	Professional		$5.81	$7.57	$10.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $8.85 / $9.38	Facility		$8.44	$8.85	$9.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $9.32 / $12.51	Professional		$4.63	$9.32	$12.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.64 / $5.81 / $8.13	Professional		$4.64	$5.81	$8.13
United Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.76 / $6.58	Facility		$4.00	$4.76	$6.58
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.75 / $8.76	Professional		$4.07	$5.75	$8.76