Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $5.11 / $80.56	Facility		$3.55	$5.11	$80.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.55 / $4.62	Professional		$3.45	$3.55	$4.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $7.09	Professional		$3.45	$3.45	$7.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $7.36 / $14.22	Facility		$4.03	$7.36	$14.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.48 / $3.21	Professional		$2.25	$2.48	$3.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $3.82 / $5.73	Facility		$3.45	$3.82	$5.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.80 / $8.00	Professional		$3.45	$3.80	$8.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $5.08	Professional		$3.45	$3.45	$5.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $7.66 / $57.33	Facility		$3.55	$7.66	$57.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.55 / $4.65	Professional		$3.45	$3.55	$4.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $4.50 / $6.21	Professional		$3.45	$4.50	$6.21
United Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $4.54 / $6.87	Professional		$3.45	$4.54	$6.87