Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $52.66 / $96.91	Facility		$14.33	$52.66	$96.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $13.15 / $18.03	Professional		$10.56	$13.15	$18.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.54 / $38.94	Professional		$6.03	$7.54	$38.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $17.05 / $29.96	Facility		$11.85	$17.05	$29.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $11.31 / $15.27	Professional		$7.69	$11.31	$15.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $15.08 / $40.94	Facility		$11.31	$15.08	$40.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $9.80 / $15.08	Professional		$9.80	$9.80	$15.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $17.35 / $21.68	Professional		$11.59	$17.35	$21.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $53.06 / $113.90	Facility		$14.33	$53.06	$113.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $14.33 / $24.64	Professional		$11.46	$14.33	$24.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $12.48 / $16.84	Professional		$11.23	$12.48	$16.84
United Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $12.34 / $13.08	Professional		$6.33	$12.34	$13.08