Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $59.76 / $609.20	Facility		$8.77	$59.76	$609.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.77 / $9.89	Professional		$6.30	$6.77	$9.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $4.23 / $21.85	Professional		$3.38	$4.23	$21.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $12.97 / $22.99	Facility		$9.44	$12.97	$22.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $8.68 / $11.72	Professional		$8.25	$8.68	$11.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $8.46 / $22.97	Facility		$6.35	$8.46	$22.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $8.46	Professional		$5.50	$5.50	$8.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $9.50 / $11.87	Professional		$6.50	$9.50	$11.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $62.56 / $236.43	Facility		$8.18	$62.56	$236.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $8.44 / $16.70	Professional		$6.44	$8.44	$16.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $7.00 / $9.44	Professional		$6.30	$7.00	$9.44
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $6.92 / $7.27	Professional		$3.55	$6.92	$7.27