Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $51.20 / $135.85	Facility		$12.72	$51.20	$135.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $9.75 / $17.62	Professional		$8.69	$9.75	$17.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $6.70 / $33.01	Professional		$5.36	$6.70	$33.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $17.46 / $30.67	Facility		$12.52	$17.46	$30.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $16.57 / $22.38	Professional		$11.27	$16.57	$22.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.03 / $13.39 / $36.36	Facility		$10.03	$13.39	$36.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $8.69 / $13.39	Professional		$8.69	$8.69	$13.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $15.28 / $19.10	Professional		$10.99	$15.28	$19.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $53.60 / $171.50	Facility		$12.72	$53.60	$171.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $12.72 / $27.30	Professional		$9.36	$12.72	$27.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $11.09 / $14.97	Professional		$9.98	$11.09	$14.97
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $10.46 / $17.41	Professional		$5.62	$10.46	$17.41