Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.30 / $3.30	Facility		$3.30	$3.30	$3.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $2.65 / $3.30	Professional		$1.27	$2.65	$3.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $3.68 / $8.03	Professional		$2.17	$3.68	$8.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $12.17 / $23.52	Facility		$6.12	$12.17	$23.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $4.50 / $5.85	Professional		$4.11	$4.50	$5.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Facility		$2.81	$2.81	$2.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $3.46 / $3.46	Professional		$3.46	$3.46	$3.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $2.10 / $6.09	Professional		$1.77	$2.10	$6.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $3.13 / $3.30	Facility		$0.23	$3.13	$3.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $3.13 / $4.97	Professional		$1.32	$3.13	$4.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $30.00 / $100.00	Professional		$3.68	$30.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $2.00 / $3.59	Professional		$1.44	$2.00	$3.59