Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $2.66 / $2.66	Facility		$2.66	$2.66	$2.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $2.66 / $2.66	Professional		$1.57	$2.66	$2.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $3.49 / $3.49	Professional		$2.79	$3.49	$3.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $10.52 / $19.17	Facility		$5.28	$10.52	$19.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.49 / $4.71	Professional		$3.32	$3.49	$4.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $2.27	Facility		$2.27	$2.27	$2.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $2.79	Professional		$2.79	$2.79	$2.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.09 / $2.58	Facility		$2.09	$2.09	$2.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $2.15 / $2.89	Professional		$1.72	$2.15	$2.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $2.66	Facility		$2.50	$2.50	$2.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $2.66 / $3.55	Professional		$1.04	$2.66	$3.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.37 / $1.72 / $2.40	Professional		$1.37	$1.72	$2.40
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.63 / $2.49	Professional		$1.15	$1.63	$2.49