Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.23 / $5.23 / $5.23	Facility		$5.23	$5.23	$5.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $5.23 / $5.23	Professional		$3.79	$5.23	$5.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.12 / $4.12	Professional		$4.12	$4.12	$4.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $20.72 / $37.72	Facility		$10.40	$20.72	$37.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $6.87 / $9.27	Professional		$6.53	$6.87	$9.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $6.87 / $10.21	Facility		$4.23	$6.87	$10.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.93 / $9.61	Professional		$5.50	$8.93	$9.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.13 / $4.44	Facility		$4.13	$4.13	$4.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $4.25 / $5.72	Professional		$3.51	$4.25	$5.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $4.97 / $5.23	Facility		$4.55	$4.97	$5.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $5.23 / $7.21	Professional		$3.79	$5.23	$7.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.81 / $5.33	Professional		$3.04	$3.81	$5.33
United Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.23 / $4.93	Professional		$2.27	$3.23	$4.93