Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $20.62 / $112.52	Facility		$19.59	$20.62	$112.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $19.37 / $20.62	Professional		$18.88	$19.37	$20.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $15.07 / $15.07	Professional		$15.07	$15.07	$15.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $24.55 / $43.12	Facility		$17.05	$24.55	$43.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $16.28 / $16.28	Professional		$11.07	$16.28	$16.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $21.70 / $58.93	Facility		$16.28	$21.70	$58.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $14.11 / $21.70	Professional		$14.11	$14.11	$21.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $24.78 / $30.98	Professional		$16.68	$24.78	$30.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $28.88 / $126.23	Facility		$19.59	$28.88	$126.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $20.62 / $28.88	Professional		$18.89	$20.62	$28.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $17.97 / $24.25	Professional		$16.17	$17.97	$24.25
United Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $17.76 / $18.82	Professional		$9.11	$17.76	$18.82