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 / $147.00	Professional		$0.02	$19.66	$147.00
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 $11.00 / $11.00 / $11.00	Facility		$11.00	$11.00	$11.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $11.00 / $14.85	Professional		$7.48	$11.00	$14.85
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 / $28.91 / $36.14	Professional		$26.54	$28.91	$36.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $25.91	Facility		$0.02	$0.02	$25.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $25.91 / $28.63	Professional		$22.17	$25.91	$28.63
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 / $14.51 / $23.94	Professional		$10.07	$14.51	$23.94