Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $5.13 / $21.88	Facility		$3.63	$5.13	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.63 / $6.03	Professional		$3.02	$3.63	$6.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.40 / $2.75	Professional		$2.00	$2.40	$2.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $4.57 / $8.51	Facility		$3.02	$4.57	$8.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.02 / $3.02	Professional		$2.82	$3.02	$3.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $11.22	Facility		$4.17	$4.17	$11.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $4.57 / $5.62	Professional		$2.75	$4.57	$5.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $5.89 / $35.48	Facility		$3.80	$5.89	$35.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.79 / $7.59	Professional		$3.02	$4.79	$7.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.16 / $5.01	Professional		$2.51	$3.16	$5.01
United Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.98 / $3.98	Facility		$2.00	$3.98	$3.98
United Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $3.24 / $3.47	Professional		$1.70	$3.24	$3.47