Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $10.55 / $75.11	Facility		$9.01	$10.55	$75.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $10.55 / $11.30	Professional		$8.76	$10.55	$11.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.11 / $5.11	Professional		$4.25	$5.11	$5.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.66 / $9.43 / $9.90	Facility		$7.66	$9.43	$9.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $6.13 / $10.21	Professional		$6.13	$6.13	$10.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $4.69 / $8.52	Professional		$3.75	$4.69	$8.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.27 / $3.27 / $75.11	Facility		$3.27	$3.27	$75.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $3.31 / $10.55	Professional		$3.27	$3.31	$10.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $10.45 / $13.39	Professional		$8.67	$10.45	$13.39