Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $8.19 / $47.50	Facility		$8.18	$8.19	$47.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $5.22 / $8.19	Professional		$2.14	$5.22	$8.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $13.72	Professional		$5.00	$5.00	$13.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $10.76 / $10.76	Facility		$10.76	$10.76	$10.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $11.19 / $14.53	Professional		$10.22	$11.19	$14.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $14.53 / $17.75	Facility		$10.76	$14.53	$17.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $13.99 / $24.97	Professional		$11.30	$13.99	$24.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.08 / $15.47	Professional		$5.08	$5.08	$15.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $8.18 / $47.50	Facility		$4.58	$8.18	$47.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $5.12 / $12.37	Professional		$2.36	$5.12	$12.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $75.00 / $100.00	Professional		$9.15	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $5.05 / $7.60	Professional		$3.58	$5.05	$7.60