Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.15 / $2.45	Facility		$1.00	$1.15	$2.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.15	Professional		$1.00	$1.00	$1.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.10 / $0.10	Professional		$0.09	$0.10	$0.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,686.94 / $51,286.14 / $56,234.13	Facility		$41,686.94	$51,286.14	$56,234.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48,977.88 / $48,977.88 / $51,286.14	Professional		$48,977.88	$48,977.88	$51,286.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $64.57	Facility		$1.23	$1.23	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.07 / $0.09	Facility		$0.02	$0.07	$0.09
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.26 / $0.27	Professional		$0.10	$0.26	$0.27