Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $28.10 / $102.39	Facility		$18.01	$28.10	$102.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.86 / $22.69	Professional		$14.79	$16.86	$22.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $49.01	Professional		$13.17	$13.17	$49.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $21.45 / $37.67	Facility		$14.89	$21.45	$37.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $14.22 / $19.20	Professional		$9.67	$14.22	$19.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $18.96 / $51.50	Facility		$14.22	$18.96	$51.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $18.96	Professional		$12.32	$12.32	$18.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $21.89 / $27.36	Professional		$14.58	$21.89	$27.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $27.55 / $113.35	Facility		$18.01	$27.55	$113.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $21.94 / $32.24	Professional		$16.09	$21.94	$32.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.70 / $21.19	Professional		$14.13	$15.70	$21.19
United Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $12.13 / $16.46	Professional		$7.96	$12.13	$16.46