Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $57.23 / $2,056.00	Facility		$2.37	$57.23	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $11.84 / $81.00	Professional		$3.12	$11.84	$81.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $0.99 / $2.68 / $3.78	Professional	52	$0.99	$2.68	$3.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $9.02 / $9.02	Professional		$6.64	$9.02	$9.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $30.73 / $43.22	Facility		$26.22	$30.73	$43.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $1.55 / $3.19	Professional		$0.38	$1.55	$3.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $2.06 / $2.79	Facility		$1.88	$2.06	$2.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $6.68 / $9.90	Professional		$6.37	$6.68	$9.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $5.74 / $10.66	Professional		$1.81	$5.74	$10.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $57.56 / $2,056.00	Facility		$2.37	$57.56	$2,056.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $8.30 / $79.43	Professional		$2.60	$8.30	$79.43
Health Alliance Plan Facility/Professional Professional Modifier 52 Low / Median / High Price $1.02 / $2.68 / $3.78	Professional	52	$1.02	$2.68	$3.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.28 / $4.26	Professional		$1.28	$1.28	$4.26
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $7.85 / $11.65	Professional		$5.74	$7.85	$11.65