Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $9.53 / $178.11	Facility		$5.46	$9.53	$178.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.35 / $6.40	Professional		$5.29	$5.35	$6.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $3.99 / $9.82	Professional		$3.99	$3.99	$9.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.16 / $11.80 / $22.03	Facility		$6.16	$11.80	$22.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.62 / $7.29	Professional		$5.13	$5.62	$7.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $5.82 / $7.95	Facility		$5.29	$5.82	$7.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.57 / $12.30	Professional		$5.30	$5.57	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $6.00	Professional		$5.30	$5.30	$6.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $10.63 / $138.41	Facility		$5.30	$10.63	$138.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.34 / $6.81	Professional		$5.30	$5.34	$6.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $5.65 / $7.93	Professional		$5.14	$5.65	$7.93
United Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.90 / $6.57	Professional		$5.30	$5.90	$6.57