Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $4.95	Facility		$4.95	$4.95	$4.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $4.95 / $4.95	Professional		$2.92	$4.95	$4.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $6.00 / $6.50	Professional		$4.86	$6.00	$6.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.84 / $19.60 / $35.70	Facility		$9.84	$19.60	$35.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $6.50 / $8.77	Professional		$6.18	$6.50	$8.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.23 / $4.23	Facility		$4.23	$4.23	$4.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $5.20 / $5.20	Professional		$5.20	$5.20	$5.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $3.90 / $4.82	Facility		$3.29	$3.90	$4.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.90 / $5.40	Professional		$3.07	$3.90	$5.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $4.95	Facility		$4.68	$4.68	$4.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $4.72 / $6.61	Professional		$1.94	$4.72	$6.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.07 / $4.29	Professional		$2.45	$3.07	$4.29
United Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $3.04 / $4.63	Professional		$2.16	$3.04	$4.63