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 $11.03 / $11.03 / $11.03	Facility		$11.03	$11.03	$11.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $11.03 / $14.89	Professional		$7.50	$11.03	$14.89
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 $12.94 / $20.23 / $27.86	Professional		$12.94	$20.23	$27.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $14.30	Facility		$0.02	$0.02	$14.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $14.30 / $26.60	Professional		$14.30	$14.30	$26.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $30.00 / $30.00	Professional		$12.91	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.19 / $20.22	Professional		$9.77	$13.19	$20.22