Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $22.89 / $94.95	Facility		$18.98	$22.89	$94.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $19.75 / $34.82	Professional		$15.71	$19.75	$34.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Professional		$9.64	$9.64	$9.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $27.25 / $47.87	Facility		$18.93	$27.25	$47.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $18.07 / $24.39	Professional		$12.29	$18.07	$24.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $24.09 / $58.88	Facility		$18.07	$24.09	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $15.66 / $24.09	Professional		$15.66	$15.66	$24.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $27.67 / $34.59	Professional		$13.89	$27.67	$34.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $22.89 / $123.01	Facility		$15.51	$22.89	$123.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $21.29 / $34.56	Professional		$15.51	$21.29	$34.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $19.95 / $26.93	Professional		$17.95	$19.95	$26.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $9.90 / $14.45	Professional		$7.14	$9.90	$14.45