Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $80.50 / $427.20	Facility		$0.28	$80.50	$427.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $25.50	Professional		$0.28	$0.28	$25.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $26.00	Professional		$26.00	$26.00	$26.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.55 / $1.14	Facility		$0.32	$0.55	$1.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.28 / $0.38	Professional		$0.27	$0.28	$0.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $0.26 / $0.39	Facility		$0.26	$0.26	$0.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.42 / $0.66	Professional		$0.26	$0.42	$0.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.36	Professional		$0.27	$0.27	$0.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $73.65 / $349.91	Facility		$0.28	$73.65	$349.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $2.00	Professional		$0.28	$0.28	$2.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.28 / $0.46	Professional		$0.26	$0.28	$0.46
United Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.30	Professional		$0.28	$0.28	$0.30