Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Facility		$1.58	$1.58	$1.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.58 / $1.58	Professional		$1.14	$1.58	$1.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Professional		$1.35	$1.35	$1.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $6.33 / $11.64	Facility		$3.04	$6.33	$11.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.08 / $2.81	Professional		$1.98	$2.08	$2.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Facility		$1.35	$1.35	$1.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.66 / $1.66	Professional		$1.66	$1.66	$1.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $1.25 / $1.25	Facility		$1.25	$1.25	$1.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $1.47 / $2.27	Professional		$1.06	$1.47	$2.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $1.58 / $3.43	Facility		$1.50	$1.58	$3.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.58 / $2.49	Professional		$1.25	$1.58	$2.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $1.11 / $1.77	Professional		$0.88	$1.11	$1.77
United Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $0.97 / $1.49	Professional		$0.69	$0.97	$1.49