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 $3.92 / $5.42 / $5.42	Professional		$3.92	$5.42	$5.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.63 / $4.63	Professional		$4.63	$4.63	$4.63
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 $4.63 / $4.63 / $4.63	Facility		$4.63	$4.63	$4.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.70 / $5.70	Professional		$5.70	$5.70	$5.70
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 $3.64 / $4.41 / $5.92	Professional		$3.64	$4.41	$5.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.15 / $5.42	Facility		$5.15	$5.15	$5.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.42 / $7.47	Professional		$4.28	$5.42	$7.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.84 / $5.37	Professional		$3.07	$3.84	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $3.35 / $5.09	Professional		$2.37	$3.35	$5.09