Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.67 / $51.58 / $120.84	Facility		$2.67	$51.58	$120.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.50 / $24.43	Professional		$2.47	$2.50	$24.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.11 / $3.52	Professional		$2.11	$2.11	$3.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $5.40 / $10.21	Facility		$2.89	$5.40	$10.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $0.76 / $0.99	Professional		$0.69	$0.76	$0.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.47 / $3.58	Facility		$2.11	$2.47	$3.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.47 / $5.73	Professional		$2.43	$2.47	$5.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $3.76	Professional		$2.47	$2.47	$3.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $69.70 / $120.84	Facility		$2.71	$69.70	$120.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $2.50 / $3.77	Professional		$2.17	$2.50	$3.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.84 / $3.95	Professional		$2.11	$2.84	$3.95
United Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $3.25 / $38.29	Professional		$2.47	$3.25	$38.29