Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $44.92 / $135.76	Facility		$3.10	$44.92	$135.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.04 / $22.41	Professional		$3.02	$3.04	$22.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.72 / $5.44	Professional		$2.72	$2.72	$5.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $6.44 / $12.45	Facility		$3.53	$6.44	$12.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.70 / $0.90	Professional		$0.60	$0.70	$0.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $3.02 / $4.49	Facility		$2.72	$3.02	$4.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.13 / $7.00	Professional		$3.02	$3.13	$7.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $4.09	Professional		$3.02	$3.02	$4.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $49.14 / $99.69	Facility		$3.10	$49.14	$99.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $3.04 / $4.33	Professional		$2.80	$3.04	$4.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.15 / $4.53	Professional		$2.72	$3.15	$4.53
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.43 / $5.75	Professional		$3.02	$4.43	$5.75