Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $13.82 / $94.05	Facility		$10.97	$13.82	$94.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $10.46 / $13.81	Professional		$8.66	$10.46	$13.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $4.62 / $8.02	Professional		$4.62	$4.62	$8.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.43 / $13.06 / $22.94	Facility		$9.43	$13.06	$22.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.66 / $11.69	Professional		$5.89	$8.66	$11.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $11.55 / $31.35	Facility		$8.66	$11.55	$31.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $7.51 / $11.55	Professional		$7.51	$7.51	$11.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $13.22 / $16.52	Professional		$7.38	$13.22	$16.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $11.99 / $94.05	Facility		$9.59	$11.99	$94.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $10.67 / $14.43	Professional		$9.32	$10.67	$14.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $9.57 / $12.91	Professional		$8.61	$9.57	$12.91
United Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.77 / $7.29	Professional		$4.29	$5.77	$7.29