Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $6.98 / $6.98	Facility		$6.98	$6.98	$6.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $6.98 / $6.98	Professional		$3.63	$6.98	$6.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $9.00 / $9.16	Professional		$7.33	$9.00	$9.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.86 / $27.62 / $50.31	Facility		$13.86	$27.62	$50.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $9.16 / $12.37	Professional		$8.69	$9.16	$12.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Facility		$5.05	$5.05	$5.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $7.33 / $7.33	Professional		$7.33	$7.33	$7.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $6.79	Facility		$5.50	$5.50	$6.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $5.67 / $7.61	Professional		$4.33	$5.67	$7.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $6.98	Facility		$6.61	$6.61	$6.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $6.61 / $9.16	Professional		$2.76	$6.61	$9.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $4.33 / $6.06	Professional		$3.46	$4.33	$6.06
United Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $4.30 / $6.55	Professional		$3.04	$4.30	$6.55