Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $84.80 / $553.72	Facility		$12.54	$84.80	$553.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $8.44 / $12.67	Professional		$7.39	$8.44	$12.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $5.28 / $26.90	Professional		$4.22	$5.28	$26.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $22.91 / $40.24	Facility		$15.91	$22.91	$40.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $15.19 / $20.51	Professional		$10.33	$15.19	$20.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $10.56 / $28.69	Facility		$7.92	$10.56	$28.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $6.86 / $10.56	Professional		$6.86	$6.86	$10.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $12.39 / $15.49	Professional		$8.11	$12.39	$15.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.21 / $84.78 / $419.96	Facility		$10.21	$84.78	$419.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $10.02 / $48.95	Professional		$7.91	$10.02	$48.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $8.74 / $11.79	Professional		$7.86	$8.74	$11.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $6.76 / $13.73	Professional		$4.44	$6.76	$13.73