Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $13.50 / $73.59	Facility		$12.85	$13.50	$73.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $12.86 / $15.82	Professional		$11.10	$12.86	$15.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $6.09 / $6.09	Professional		$6.09	$6.09	$6.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $15.46 / $26.91	Facility		$11.07	$15.46	$26.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $10.16 / $13.72	Professional		$6.91	$10.16	$13.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $13.54 / $36.78	Facility		$10.16	$13.54	$36.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $8.80 / $13.54	Professional		$8.80	$8.80	$13.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $15.69 / $19.62	Professional		$10.42	$15.69	$19.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $16.07 / $73.59	Facility		$12.85	$16.07	$73.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $16.23 / $20.05	Professional		$11.81	$16.23	$20.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $11.21 / $15.13	Professional		$10.08	$11.21	$15.13
United Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $11.09 / $11.76	Professional		$5.69	$11.09	$11.76