Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $15.96 / $77.40	Facility		$12.13	$15.96	$77.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.70 / $12.77	Professional		$11.53	$11.70	$12.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $15.07 / $26.70	Facility		$10.98	$15.07	$26.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $10.08 / $13.61	Professional		$6.85	$10.08	$13.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $13.44 / $36.49	Facility		$10.08	$13.44	$36.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $13.44	Professional		$8.74	$8.74	$13.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $15.69 / $19.62	Professional		$10.33	$15.69	$19.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $17.27 / $80.34	Facility		$11.98	$17.27	$80.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $14.11 / $18.59	Professional		$11.53	$14.11	$18.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $11.13 / $15.02	Professional		$10.01	$11.13	$15.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $11.06 / $11.66	Professional		$5.64	$11.06	$11.66