Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $2.04	Professional		$1.00	$2.00	$2.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.40 / $3.39	Professional		$1.58	$2.40	$3.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $9.12 / $18.20	Facility		$3.39	$9.12	$18.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.55	Professional		$3.39	$3.39	$3.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $6.46	Facility		$4.07	$4.07	$6.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.79 / $5.62	Professional		$3.39	$4.79	$5.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $4.79	Professional		$1.74	$1.74	$4.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.82 / $7.08	Facility		$2.04	$2.82	$7.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.45 / $4.17	Professional		$2.00	$2.45	$4.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $3.98	Professional		$1.74	$1.74	$3.98
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.58 / $2.40	Professional		$1.12	$1.58	$2.40