Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $9.38 / $42.16	Facility		$2.19	$9.38	$42.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $1.04 / $4.40	Professional		$0.10	$1.04	$4.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.22 / $0.49	Facility		$0.10	$0.22	$0.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Facility		$0.12	$0.12	$0.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.42	Professional		$0.09	$0.09	$0.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.06 / $7.70 / $40.92	Facility		$1.06	$7.70	$40.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.78 / $8.74	Professional		$0.09	$0.78	$8.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.13	Professional		$0.10	$0.10	$0.13
United Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.10	Professional		$0.09	$0.09	$0.10