Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $4.57 / $94.77	Facility		$4.57	$4.57	$94.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.57 / $4.57	Professional		$3.89	$4.57	$4.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $8.01 / $8.01	Professional		$6.01	$8.01	$8.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $24.15 / $43.99	Facility		$12.13	$24.15	$43.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $8.01 / $10.81	Professional		$7.61	$8.01	$10.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.21 / $5.21 / $5.21	Facility		$5.21	$5.21	$5.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $6.41 / $6.41	Professional		$6.41	$6.41	$6.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.18 / $5.18	Facility		$5.18	$5.18	$5.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.18 / $9.38	Professional		$5.18	$5.18	$9.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $5.79 / $94.77	Facility		$4.57	$5.79	$94.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.79 / $9.21	Professional		$4.51	$5.79	$9.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $5.93 / $6.81	Professional		$4.86	$5.93	$6.81
United Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $4.00 / $6.16	Professional		$3.33	$4.00	$6.16