Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $6.94 / $6.94	Facility		$6.94	$6.94	$6.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $6.94 / $6.94	Professional		$5.03	$6.94	$6.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $5.23 / $5.23	Professional		$5.23	$5.23	$5.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $27.47 / $50.04	Facility		$13.79	$27.47	$50.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $9.11 / $12.30	Professional		$8.65	$9.11	$12.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.92 / $5.92 / $5.92	Facility		$5.92	$5.92	$5.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $7.29 / $7.29	Professional		$7.29	$7.29	$7.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $5.47 / $5.79	Facility		$5.47	$5.47	$5.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.63 / $7.57	Professional		$4.51	$5.63	$7.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.49 / $6.57 / $7.21	Facility		$6.49	$6.57	$7.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $6.94 / $9.56	Professional		$5.46	$6.94	$9.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $4.51 / $6.32	Professional		$3.61	$4.51	$6.32
United Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $4.26 / $6.43	Professional		$3.03	$4.26	$6.43