Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $54.41 / $110.98	Facility		$1.80	$54.41	$110.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.77 / $6.11	Professional		$1.69	$1.77	$6.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $2.60	Professional		$1.40	$1.40	$2.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $3.92 / $7.24	Facility		$2.04	$3.92	$7.24
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 $1.40 / $1.75 / $2.54	Facility		$1.40	$1.75	$2.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.75 / $4.05	Professional		$1.61	$1.75	$4.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $2.23	Professional		$1.75	$1.75	$2.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $52.26 / $113.83	Facility		$1.80	$52.26	$113.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $1.75 / $2.71	Professional		$1.44	$1.75	$2.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.75 / $2.46	Professional		$1.40	$1.75	$2.46
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $2.08 / $33.95	Professional		$1.75	$2.08	$33.95