Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $18.63 / $29.11	Facility		$12.14	$18.63	$29.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $16.22 / $23.39	Professional		$8.71	$16.22	$23.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $17.80 / $17.80	Professional		$17.80	$17.80	$17.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $32.13 / $57.14	Facility		$23.21	$32.13	$57.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $14.12 / $21.57	Professional		$2.64	$14.12	$21.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $17.09 / $20.35	Professional		$17.09	$17.09	$20.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.89 / $31.34	Professional		$10.00	$16.89	$31.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $17.78 / $29.11	Facility		$12.14	$17.78	$29.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $18.28 / $24.92	Professional		$12.14	$18.28	$24.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $24.27 / $32.15	Professional		$19.98	$24.27	$32.15