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 / $66.00	Professional		$0.02	$19.66	$66.00
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 $12.76 / $12.76 / $12.76	Facility		$12.76	$12.76	$12.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $12.76 / $17.23	Professional		$8.68	$12.76	$17.23
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 $20.68 / $22.30 / $27.88	Professional		$20.68	$22.30	$27.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $20.18	Facility		$0.02	$0.02	$20.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $20.18 / $26.60	Professional		$20.18	$20.18	$26.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $30.00 / $30.00	Professional		$20.62	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $12.13 / $14.74	Professional		$8.98	$12.13	$14.74