Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $44.93 / $96.30	Facility		$3.22	$44.93	$96.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.16 / $6.98	Professional		$3.12	$3.16	$6.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $2.96 / $5.50	Professional		$2.96	$2.96	$5.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.65 / $6.68 / $12.90	Facility		$3.65	$6.68	$12.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.41 / $0.48 / $0.62	Professional		$0.41	$0.48	$0.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $3.26 / $4.70	Facility		$2.96	$3.26	$4.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.29 / $7.26	Professional		$3.13	$3.29	$7.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.86	Professional		$3.13	$3.13	$3.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $48.88 / $96.84	Facility		$3.22	$48.88	$96.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $3.16 / $4.22	Professional		$3.05	$3.16	$4.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.25 / $4.47	Professional		$2.96	$3.25	$4.47
United Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $35.20 / $40.70	Professional		$3.13	$35.20	$40.70