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 / $77.00	Professional		$0.02	$19.66	$77.00
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 $11.16 / $11.16 / $11.16	Facility		$11.16	$11.16	$11.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.16 / $15.07	Professional		$7.59	$11.16	$15.07
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 $18.09 / $19.41 / $27.86	Professional		$18.09	$19.41	$27.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $17.00	Facility		$0.02	$0.02	$17.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $26.60	Professional		$17.00	$17.00	$26.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $30.00 / $30.00	Professional		$18.04	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $10.54 / $14.74	Professional		$7.88	$10.54	$14.74