Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $72.17 / $159.94	Facility		$30.08	$72.17	$159.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.80 / $2.60	Professional		$1.73	$1.80	$2.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $1.82	Professional		$1.82	$1.82	$1.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $2.64 / $4.69	Facility		$1.93	$2.64	$4.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $1.77 / $2.12	Professional		$1.68	$1.77	$2.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $2.61	Facility		$1.74	$1.74	$2.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.09 / $4.03	Professional		$1.74	$2.09	$4.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $2.06	Professional		$1.74	$1.74	$2.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $88.40 / $159.94	Facility		$6.31	$88.40	$159.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.76 / $2.60	Professional		$1.74	$1.76	$2.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.88	Professional		$1.74	$1.74	$1.88