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 / $85.00	Professional		$0.02	$19.66	$85.00
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 $9.81 / $9.81 / $9.81	Facility		$9.81	$9.81	$9.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $9.81 / $13.24	Professional		$6.67	$9.81	$13.24
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 $14.04 / $15.89 / $27.86	Professional		$14.04	$15.89	$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 $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $12.64 / $15.37	Professional		$9.44	$12.64	$15.37