Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $19.66 / $88.00	Professional		$0.02	$19.66	$88.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $11.80 / $11.80	Professional		$11.80	$11.80	$11.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $13.88 / $13.88	Facility		$13.88	$13.88	$13.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $13.88 / $18.73	Professional		$9.44	$13.88	$18.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $21.81 / $55.99	Facility		$17.70	$21.81	$55.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $14.18 / $23.60	Professional		$14.18	$14.18	$23.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $27.26 / $34.08	Professional		$22.55	$27.26	$34.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $22.01	Facility		$0.02	$0.02	$22.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $22.01 / $26.60	Professional		$22.01	$22.01	$26.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $30.00 / $30.00	Professional		$22.49	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $13.76 / $23.81	Professional		$10.07	$13.76	$23.81