Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $13.14 / $16.14	Facility		$0.78	$13.14	$16.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.66 / $0.87	Professional		$0.45	$0.66	$0.87
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 $1.37 / $2.87 / $5.60	Facility		$1.37	$2.87	$5.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.97 / $1.06 / $1.38	Professional		$0.97	$1.06	$1.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Facility		$0.66	$0.66	$0.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $0.82 / $0.82	Professional		$0.82	$0.82	$0.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $0.61 / $0.76	Facility		$0.61	$0.61	$0.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.61 / $1.39	Professional		$0.52	$0.61	$1.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $13.14 / $16.14	Facility		$0.72	$13.14	$16.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $0.72 / $1.17	Professional		$0.49	$0.72	$1.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $30.00 / $100.00	Professional		$0.87	$30.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.46 / $0.72	Professional		$0.34	$0.46	$0.72