Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.93 / $7.93 / $7.93	Facility		$7.93	$7.93	$7.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $7.93 / $7.93	Professional		$5.47	$7.93	$7.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $10.41 / $10.41	Professional		$4.20	$10.41	$10.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $31.39 / $57.18	Facility		$15.76	$31.39	$57.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $10.41 / $14.05	Professional		$9.89	$10.41	$14.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $6.48 / $6.77	Facility		$6.48	$6.48	$6.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $7.86	Professional		$7.86	$7.86	$7.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $6.26 / $6.89	Facility		$6.26	$6.26	$6.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $6.26 / $8.66	Professional		$4.94	$6.26	$8.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $7.93 / $10.54	Facility		$7.53	$7.93	$10.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $7.93 / $10.93	Professional		$5.61	$7.93	$10.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $4.94 / $8.85	Professional		$3.95	$4.94	$8.85
United Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $4.88 / $7.46	Professional		$3.46	$4.88	$7.46