Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $2.76 / $6.00	Facility		$2.76	$2.76	$6.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.76 / $2.76	Professional		$2.00	$2.76	$2.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.17 / $3.25	Professional		$1.48	$2.17	$3.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.48 / $10.92 / $19.88	Facility		$5.48	$10.92	$19.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.62 / $4.88	Professional		$3.44	$3.62	$4.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $3.62 / $5.38	Facility		$1.82	$3.62	$5.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $4.71 / $5.07	Professional		$2.90	$4.71	$5.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $2.18 / $2.29	Facility		$2.18	$2.18	$2.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $2.25 / $3.01	Professional		$1.92	$2.25	$3.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $2.61 / $2.76	Facility		$1.93	$2.61	$2.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.75 / $3.69	Professional		$2.02	$2.75	$3.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $2.25 / $3.08	Professional		$1.80	$2.25	$3.08
United Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.70 / $2.58	Professional		$1.28	$1.70	$2.58