Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.76 / $3.76 / $3.76	Facility		$3.76	$3.76	$3.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.76 / $3.76	Professional		$2.72	$3.76	$3.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $2.84 / $2.84	Professional		$2.84	$2.84	$2.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.48 / $15.03 / $27.13	Facility		$7.48	$15.03	$27.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.94 / $6.67	Professional		$4.69	$4.94	$6.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.21 / $3.21 / $3.21	Facility		$3.21	$3.21	$3.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $3.95	Professional		$3.95	$3.95	$3.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.97 / $2.97 / $3.14	Facility		$2.97	$2.97	$3.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.97 / $4.09	Professional		$1.84	$2.97	$4.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $3.56 / $3.76	Facility		$3.29	$3.56	$3.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.76 / $5.18	Professional		$2.96	$3.76	$5.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.84 / $3.31	Professional		$1.47	$1.84	$3.31
United Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $2.27 / $3.49	Professional		$1.64	$2.27	$3.49