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 / $3.02	Professional		$1.00	$2.00	$3.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $3.47	Professional		$3.31	$3.31	$3.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $10.47 / $19.95	Facility		$4.47	$10.47	$19.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.63	Professional		$3.47	$3.47	$3.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Facility		$2.29	$2.29	$2.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.09 / $2.57	Facility		$2.09	$2.09	$2.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.09 / $4.17	Professional		$1.78	$2.09	$4.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $6.61 / $7.41	Facility		$2.00	$6.61	$7.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.75 / $4.27	Professional		$2.00	$2.75	$4.27
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.09 / $2.57	Facility		$2.09	$2.09	$2.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.09 / $2.57	Professional		$1.78	$2.09	$2.57
United Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.62 / $2.34	Facility		$1.00	$1.62	$2.34
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.62 / $2.51	Professional		$1.15	$1.62	$2.51