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 / $89.00	Professional		$0.02	$19.66	$89.00
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 $26.54 / $37.17 / $46.46	Professional		$26.54	$37.17	$46.46
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 $26.48 / $30.00 / $30.45	Professional		$26.48	$30.00	$30.45
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $13.95 / $17.73	Professional		$10.16	$13.95	$17.73