Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Facility		$1.70	$1.70	$1.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $1.62 / $1.70	Professional		$0.66	$1.62	$1.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.88 / $2.13	Professional		$1.13	$1.88	$2.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.38 / $6.72 / $12.25	Facility		$3.38	$6.72	$12.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $2.23 / $3.01	Professional		$2.12	$2.23	$3.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $1.24 / $1.45	Facility		$1.24	$1.24	$1.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $1.52	Professional		$1.52	$1.52	$1.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $1.34 / $1.34	Facility		$0.72	$1.34	$1.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $1.34 / $1.86	Professional		$0.30	$1.34	$1.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.70 / $2.06	Facility		$1.62	$1.70	$2.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1.69 / $2.27	Professional		$0.60	$1.69	$2.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.30 / $1.90	Professional		$0.24	$0.30	$1.90
United Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $1.03 / $1.54	Professional		$0.74	$1.03	$1.54