Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $25.70 / $87.10	Facility		$1.41	$25.70	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.88	Professional		$1.00	$1.00	$2.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.07	Professional		$1.07	$1.07	$1.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $2.45 / $4.79	Facility		$1.29	$2.45	$4.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.40 / $0.40	Professional		$0.38	$0.40	$0.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $1.51	Facility		$1.51	$1.51	$1.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $28.18 / $91.20	Facility		$1.17	$28.18	$91.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.12 / $1.70	Professional		$1.00	$1.12	$1.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
United Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.86	Facility		$1.10	$1.10	$1.86
United Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.15	Professional		$1.10	$1.10	$1.15