Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $43.99 / $175.20	Facility		$0.09	$43.99	$175.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.31	Professional		$0.08	$0.08	$0.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $8.00 / $17.00	Professional		$4.00	$8.00	$17.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.22 / $0.66	Facility		$0.10	$0.22	$0.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.09 / $0.14	Facility		$0.08	$0.09	$0.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $0.16	Professional		$0.08	$0.09	$0.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.08 / $0.10	Professional		$0.05	$0.08	$0.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $36.40 / $171.60	Facility		$0.09	$36.40	$171.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.08 / $0.11	Professional		$0.08	$0.08	$0.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.08 / $0.12	Professional		$0.05	$0.08	$0.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.10 / $2.83	Professional		$0.08	$0.10	$2.83