Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $60.12 / $237.37	Facility		$11.30	$60.12	$237.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $8.19 / $19.88	Professional		$3.00	$8.19	$19.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $4.55 / $9.09	Professional		$1.80	$4.55	$9.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $7.71 / $13.40	Facility		$5.51	$7.71	$13.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.49 / $5.05 / $6.75	Professional		$0.49	$5.05	$6.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $9.09 / $9.53	Facility		$6.82	$9.09	$9.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $5.91 / $9.09	Professional		$5.91	$5.91	$9.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.88 / $3.67	Professional		$1.50	$1.88	$3.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $64.06 / $386.02	Facility		$10.08	$64.06	$386.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $8.57 / $44.22	Professional		$2.82	$8.57	$44.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $7.53 / $10.16	Professional		$6.77	$7.53	$10.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.80 / $3.00	Professional		$1.26	$1.80	$3.00