Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.51 / $2.51	Professional		$2.04	$2.51	$2.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $7.59 / $14.45	Facility		$3.24	$7.59	$14.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $2.63	Professional		$2.51	$2.51	$2.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $2.57 / $5.37	Facility		$0.56	$2.57	$5.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.02 / $3.02	Professional		$2.14	$3.02	$3.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $1.86	Facility		$1.51	$1.51	$1.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.51 / $3.02	Professional		$1.29	$1.51	$3.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $0.68 / $5.37	Facility		$0.60	$0.68	$5.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.09	Professional		$1.00	$2.00	$3.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $1.86	Facility		$1.51	$1.51	$1.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.51 / $1.86	Professional		$1.29	$1.51	$1.86
United Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $0.98 / $1.62	Facility		$0.72	$0.98	$1.62
United Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.20 / $1.82	Professional		$0.83	$1.20	$1.82