Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $75.53 / $416.40	Facility		$0.10	$75.53	$416.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $2.16	Professional		$0.10	$0.10	$2.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.00 / $22.00	Professional		$10.00	$11.00	$22.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.23 / $0.55	Facility		$0.11	$0.23	$0.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.14	Professional		$0.02	$0.03	$0.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.11 / $0.17	Facility		$0.10	$0.11	$0.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.25	Professional		$0.10	$0.11	$0.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.14	Professional		$0.10	$0.10	$0.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $51.68 / $262.80	Facility		$0.11	$51.68	$262.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.14	Professional		$0.10	$0.10	$0.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $0.16	Professional		$0.10	$0.12	$0.16
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.13	Professional		$0.10	$0.11	$0.13