Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $15.13 / $187.73	Facility		$8.25	$15.13	$187.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $7.02 / $10.39	Professional		$6.42	$7.02	$10.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $22.44	Professional		$6.03	$6.03	$22.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.35 / $16.35 / $28.71	Facility		$11.35	$16.35	$28.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $10.84 / $14.63	Professional		$7.37	$10.84	$14.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.51 / $8.68 / $23.59	Facility		$6.51	$8.68	$23.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $8.68	Professional		$5.64	$5.64	$8.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $9.91 / $12.39	Professional		$6.68	$9.91	$12.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $14.44 / $133.25	Facility		$8.25	$14.44	$133.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $8.68 / $13.22	Professional		$6.71	$8.68	$13.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $7.19 / $9.70	Professional		$6.47	$7.19	$9.70
United Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $5.33 / $7.54	Professional		$3.65	$5.33	$7.54