Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $3.82 / $3.82	Facility		$3.82	$3.82	$3.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $3.82 / $3.82	Professional		$2.77	$3.82	$3.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $5.01 / $5.01	Professional		$2.88	$5.01	$5.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $15.11 / $27.52	Facility		$7.58	$15.11	$27.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $5.01 / $6.76	Professional		$4.76	$5.01	$6.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.26 / $3.26	Facility		$3.26	$3.26	$3.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Professional		$4.01	$4.01	$4.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $3.01 / $3.19	Facility		$3.01	$3.01	$3.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.10 / $4.17	Professional		$2.54	$3.10	$4.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.63 / $3.88	Facility		$3.49	$3.63	$3.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $3.82 / $5.26	Professional		$2.84	$3.82	$5.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.03 / $2.54 / $3.55	Professional		$2.03	$2.54	$3.55
United Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.36 / $3.59	Professional		$1.66	$2.36	$3.59