Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $21.04 / $61.25	Facility		$18.45	$21.04	$61.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $15.24 / $28.02	Professional		$13.77	$15.24	$28.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $11.48 / $13.18	Professional		$10.55	$11.48	$13.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $23.86 / $41.91	Facility		$16.57	$23.86	$41.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $15.82 / $21.36	Professional		$10.76	$15.82	$21.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.82 / $21.09 / $51.54	Facility		$15.82	$21.09	$51.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $13.71 / $21.09	Professional		$13.71	$13.71	$21.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $24.37 / $30.46	Professional		$11.92	$24.37	$30.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $20.39 / $70.14	Facility		$18.04	$20.39	$70.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $20.63 / $28.33	Professional		$14.01	$20.63	$28.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $17.46 / $23.57	Professional		$15.71	$17.46	$23.57
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $12.65 / $21.65	Professional		$8.86	$12.65	$21.65