Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $4.98 / $4.98	Facility		$4.98	$4.98	$4.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $4.98 / $4.98	Professional		$3.60	$4.98	$4.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $6.53 / $6.53	Professional		$4.24	$6.53	$6.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $19.69 / $37.43	Facility		$9.56	$19.69	$37.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.53 / $8.82	Professional		$6.20	$6.53	$8.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $6.53 / $9.69	Facility		$4.24	$6.53	$9.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $8.49 / $9.14	Professional		$5.22	$8.49	$9.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $3.93 / $4.16	Facility		$3.93	$3.93	$4.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $4.16 / $5.43	Professional		$3.34	$4.16	$5.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.71 / $4.98 / $6.02	Facility		$4.71	$4.98	$6.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.98 / $6.85	Professional		$4.07	$4.98	$6.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.75 / $5.25	Professional		$3.00	$3.75	$5.25
United Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $3.06 / $4.62	Professional		$2.17	$3.06	$4.62