Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Facility		$2.88	$2.88	$2.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $2.88 / $2.88	Professional		$1.76	$2.88	$2.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $3.78 / $3.78	Professional		$2.17	$3.78	$3.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $11.40 / $20.76	Facility		$5.72	$11.40	$20.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.78 / $5.09	Professional		$3.59	$3.78	$5.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $3.78 / $5.61	Facility		$2.27	$3.78	$5.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.91 / $5.29	Professional		$3.02	$4.91	$5.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $2.40	Facility		$2.27	$2.27	$2.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.27 / $3.14	Professional		$1.70	$2.27	$3.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.67 / $2.88	Facility		$2.40	$2.67	$2.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $2.84 / $3.85	Professional		$1.47	$2.84	$3.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.84 / $2.57	Professional		$1.47	$1.84	$2.57
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.78 / $2.62	Professional		$1.26	$1.78	$2.62