Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $13.87 / $25.49	Facility		$5.00	$13.87	$25.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $12.71 / $13.87	Professional		$12.23	$12.71	$13.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $10.14	Professional		$10.14	$10.14	$10.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $16.51 / $29.01	Facility		$11.47	$16.51	$29.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $10.95 / $14.78	Professional		$7.45	$10.95	$14.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $14.60 / $39.64	Facility		$10.95	$14.60	$39.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $9.49 / $14.60	Professional		$9.49	$9.49	$14.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $16.93 / $21.17	Professional		$9.90	$16.93	$21.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $13.87 / $26.95	Facility		$9.02	$13.87	$26.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $14.60 / $17.82	Professional		$12.48	$14.60	$17.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $12.09 / $16.32	Professional		$10.88	$12.09	$16.32
United Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $9.34 / $10.10	Professional		$6.13	$9.34	$10.10