Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $6.03	Professional		$3.02	$3.98	$6.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $21.38 / $40.74	Facility		$9.12	$21.38	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.41	Professional		$7.08	$7.08	$7.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Facility		$4.68	$4.68	$4.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.57	Facility		$4.27	$4.27	$4.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.27 / $8.32	Professional		$3.63	$4.27	$8.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $13.49 / $15.14	Facility		$5.01	$13.49	$15.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.75 / $8.71	Professional		$3.98	$5.75	$8.71
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.57	Facility		$4.27	$4.27	$4.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.27 / $5.01	Professional		$3.63	$4.27	$5.01
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.75 / $4.57	Facility		$1.95	$2.75	$4.57
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.39 / $5.13	Professional		$2.34	$3.39	$5.13