Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $26.28 / $74.70	Facility		$2.61	$26.28	$74.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.31 / $21.90	Professional		$2.29	$2.31	$21.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $3.00	Professional		$1.95	$1.95	$3.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $4.90 / $9.47	Facility		$2.68	$4.90	$9.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.03 / $1.34	Professional		$0.94	$1.03	$1.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.29 / $3.32	Facility		$1.95	$2.29	$3.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.29 / $5.31	Professional		$2.24	$2.29	$5.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $3.10	Professional		$2.29	$2.29	$3.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $27.60 / $82.89	Facility		$2.40	$27.60	$82.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.31 / $3.19	Professional		$2.00	$2.31	$3.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.63 / $3.86	Professional		$1.95	$2.63	$3.86
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $11.16 / $12.33	Professional		$2.29	$11.16	$12.33