Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.22 / $16.22	Facility		$13.18	$16.22	$16.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.45 / $4.47	Professional		$1.00	$1.45	$4.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.02 / $1.02	Professional		$1.02	$1.02	$1.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $2.75 / $5.50	Facility		$1.02	$2.75	$5.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.02 / $1.07	Professional		$1.02	$1.02	$1.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Facility		$0.66	$0.66	$0.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $0.76	Facility		$0.62	$0.62	$0.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $1.20	Professional		$0.52	$0.52	$1.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $1.91 / $16.22	Facility		$0.72	$1.91	$16.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.95 / $1.38	Professional		$0.72	$0.95	$1.38
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $0.76	Facility		$0.62	$0.62	$0.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $1.12	Professional		$0.52	$0.52	$1.12
United Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.48 / $0.68	Facility		$0.28	$0.48	$0.68
United Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.47 / $0.83	Professional		$0.34	$0.47	$0.83