Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $33.44 / $99.80	Facility		$13.84	$33.44	$99.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $13.02 / $14.57	Professional		$12.68	$13.02	$14.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $37.65	Professional		$10.11	$10.11	$37.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $16.48 / $28.95	Facility		$11.45	$16.48	$28.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $10.93 / $14.76	Professional		$7.43	$10.93	$14.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $14.57 / $39.57	Facility		$10.93	$14.57	$39.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $9.47 / $14.57	Professional		$9.47	$9.47	$14.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $16.93 / $21.17	Professional		$9.26	$16.93	$21.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $25.43 / $103.20	Facility		$13.83	$25.43	$103.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $14.57 / $19.67	Professional		$12.68	$14.57	$19.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $12.06 / $16.28	Professional		$10.85	$12.06	$16.28
United Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $8.94 / $12.64	Professional		$6.12	$8.94	$12.64