Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.64 / $140.16 / $351.28	Facility		$0.64	$140.16	$351.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.46 / $0.63 / $3.03	Professional		$0.46	$0.63	$3.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $61.00 / $61.00	Professional		$34.00	$61.00	$61.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.73 / $1.41 / $2.56	Facility		$0.73	$1.41	$2.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $0.12	Professional		$0.08	$0.09	$0.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $0.53 / $0.91	Facility		$0.38	$0.53	$0.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.63 / $1.46	Professional		$0.42	$0.63	$1.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.81	Professional		$0.60	$0.60	$0.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $96.23 / $359.87	Facility		$0.65	$96.23	$359.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.39 / $0.63 / $0.88	Professional		$0.39	$0.63	$0.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.63 / $0.85	Professional		$0.38	$0.63	$0.85
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $5.30 / $5.71	Professional		$0.63	$5.30	$5.71