Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $1.13 / $1.13	Facility		$1.13	$1.13	$1.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.13 / $6.25	Professional		$0.87	$1.13	$6.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.13 / $1.13	Professional		$1.13	$1.13	$1.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $18.88 / $35.88	Facility		$9.08	$18.88	$35.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $6.51 / $8.44	Professional		$5.95	$6.51	$8.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $1.03 / $6.78	Professional		$1.03	$1.03	$6.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $10.11 / $12.17	Facility		$1.13	$10.11	$12.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $12.17 / $12.17	Professional		$1.13	$12.17	$12.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $7.79 / $12.20	Professional		$6.78	$7.79	$12.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $6.82 / $12.06	Professional		$0.56	$6.82	$12.06