Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $26.26 / $89.10	Facility		$14.34	$26.26	$89.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $14.93 / $19.60	Professional		$14.41	$14.93	$19.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $11.65 / $43.34	Professional		$6.71	$11.65	$43.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $18.97 / $33.32	Facility		$13.18	$18.97	$33.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $12.58 / $16.98	Professional		$8.55	$12.58	$16.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $16.77 / $45.55	Facility		$12.58	$16.77	$45.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $10.90 / $16.77	Professional		$10.90	$10.90	$16.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $18.64 / $28.54	Professional		$11.51	$18.64	$28.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $24.85 / $91.14	Facility		$14.94	$24.85	$91.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $16.77 / $24.85	Professional		$14.41	$16.77	$24.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $13.88 / $18.73	Professional		$12.49	$13.88	$18.73
United Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $16.77 / $16.77	Facility		$8.39	$16.77	$16.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $13.73 / $16.77	Professional		$7.04	$13.73	$16.77