Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.02	Professional		$1.00	$2.00	$3.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.29 / $3.72	Professional		$2.19	$2.29	$3.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $10.96 / $20.89	Facility		$4.57	$10.96	$20.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.80	Professional		$3.63	$3.63	$3.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $4.37 / $7.76	Facility		$1.82	$4.37	$7.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.13 / $5.13	Professional		$3.63	$5.13	$5.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.29	Facility		$2.19	$2.19	$2.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.19 / $4.17	Professional		$1.86	$2.19	$4.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.14 / $7.59	Facility		$1.95	$2.14	$7.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.88 / $4.47	Professional		$2.00	$2.88	$4.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.29	Facility		$2.19	$2.19	$2.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.19 / $2.57	Professional		$1.86	$2.19	$2.57
United Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.38 / $2.29	Facility		$1.00	$1.38	$2.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.70 / $2.57	Professional		$1.20	$1.70	$2.57