Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $28.42 / $82.53	Facility		$13.00	$28.42	$82.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $12.30 / $13.68	Professional		$11.88	$12.30	$13.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $9.50 / $35.31	Professional		$5.47	$9.50	$35.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $15.47 / $27.18	Facility		$11.07	$15.47	$27.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $10.26 / $13.85	Professional		$6.98	$10.26	$13.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $13.68 / $37.15	Facility		$10.26	$13.68	$37.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $8.89 / $13.68	Professional		$8.89	$8.89	$13.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $15.69 / $19.62	Professional		$9.50	$15.69	$19.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $22.75 / $93.70	Facility		$13.00	$22.75	$93.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $13.67 / $21.25	Professional		$11.88	$13.67	$21.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $11.33 / $15.29	Professional		$10.19	$11.33	$15.29
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $10.95 / $11.86	Professional		$5.75	$10.95	$11.86