Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $36.28 / $97.16	Facility		$0.38	$36.28	$97.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.37 / $9.68	Professional		$0.35	$0.37	$9.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $54.00 / $90.00	Professional		$43.00	$54.00	$90.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.42 / $0.82 / $1.52	Facility		$0.42	$0.82	$1.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.50	Professional		$0.05	$0.05	$0.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.45 / $0.67	Facility		$0.36	$0.45	$0.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.40 / $0.82	Professional		$0.36	$0.40	$0.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.34 / $0.67	Professional		$0.34	$0.34	$0.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $19.03 / $62.30	Facility		$0.45	$19.03	$62.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.37 / $0.90	Professional		$0.36	$0.37	$0.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.50 / $0.67	Professional		$0.36	$0.50	$0.67
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.40 / $0.46	Professional		$0.36	$0.40	$0.46