Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $68.69 / $141.91	Facility		$0.14	$68.69	$141.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.14 / $33.32	Professional		$0.14	$0.14	$33.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $13.00	Professional		$11.00	$11.00	$13.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.32 / $0.71	Facility		$0.15	$0.32	$0.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.06	Professional		$0.05	$0.05	$0.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.14 / $0.21	Facility		$0.11	$0.14	$0.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.14 / $0.33	Professional		$0.13	$0.14	$0.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.14 / $0.14	Professional		$0.12	$0.14	$0.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $65.42 / $141.91	Facility		$0.14	$65.42	$141.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $0.19	Professional		$0.11	$0.14	$0.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $0.19	Professional		$0.11	$0.14	$0.19
United Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $0.14 / $0.14	Facility		$0.14	$0.14	$0.14
United Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.21 / $1.37	Professional		$0.14	$0.21	$1.37