Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Facility		$13.25	$13.25	$13.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $13.12 / $13.25	Professional		$8.83	$13.12	$13.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $18.92 / $18.92	Professional		$18.92	$18.92	$18.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $59.55 / $79.38	Facility		$6.05	$59.55	$79.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $12.40 / $22.32	Professional		$1.57	$12.40	$22.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $9.58 / $12.80	Facility		$1.07	$9.58	$12.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $9.92 / $16.53	Professional		$1.32	$9.92	$16.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.65 / $10.65 / $13.97	Facility		$10.65	$10.65	$13.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $12.74 / $14.90	Professional		$10.65	$12.74	$14.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $13.25 / $20.47	Professional		$1.48	$13.25	$20.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $9.23 / $14.90	Professional		$1.26	$9.23	$14.90
United Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $9.78 / $16.01	Professional		$6.44	$9.78	$16.01