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 / $97.00	Professional		$0.02	$19.66	$97.00
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 $16.38 / $16.38 / $16.38	Facility		$16.38	$16.38	$16.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $16.38 / $22.11	Professional		$11.14	$16.38	$22.11
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 $16.52 / $20.65 / $27.86	Professional		$16.52	$20.65	$27.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $23.12	Facility		$0.02	$0.02	$23.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $23.12 / $26.60	Professional		$22.17	$23.12	$26.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $30.00 / $30.45	Professional		$26.48	$30.00	$30.45
United Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $13.48 / $16.30	Professional		$10.07	$13.48	$16.30