Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $20.88 / $94.69	Facility		$16.96	$20.88	$94.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $16.93 / $18.79	Professional		$15.41	$16.93	$18.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $13.05 / $13.05	Professional		$13.05	$13.05	$13.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $21.25 / $37.32	Facility		$14.76	$21.25	$37.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $14.09 / $19.02	Professional		$9.58	$14.09	$19.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $18.79 / $51.02	Facility		$14.09	$18.79	$51.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $12.21 / $18.79	Professional		$12.21	$12.21	$18.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.48 / $26.85	Professional		$14.45	$21.48	$26.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $25.03 / $94.69	Facility		$16.96	$25.03	$94.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $21.60 / $28.03	Professional		$16.35	$21.60	$28.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $15.56 / $21.00	Professional		$14.00	$15.56	$21.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $15.39 / $16.30	Professional		$7.89	$15.39	$16.30