Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $32.35 / $106.79	Facility		$0.96	$32.35	$106.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $0.96 / $1.36	Professional		$0.94	$0.96	$1.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.56 / $94.00	Professional		$1.12	$1.56	$94.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $2.11 / $3.89	Facility		$1.10	$2.11	$3.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.51 / $0.66	Professional		$0.44	$0.51	$0.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $1.30 / $1.93	Facility		$0.94	$1.30	$1.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.03 / $2.18	Professional		$0.94	$1.03	$2.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $0.94 / $1.24	Professional		$0.94	$0.94	$1.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $22.62 / $74.56	Facility		$0.96	$22.62	$74.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $0.97 / $1.34	Professional		$0.94	$0.97	$1.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.26 / $1.75	Professional		$0.94	$1.26	$1.75
United Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.12 / $4.08	Professional		$0.94	$1.12	$4.08