Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $45.65 / $101.62	Facility		$13.97	$45.65	$101.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $12.82 / $17.51	Professional		$10.87	$12.82	$17.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $7.35 / $37.97	Professional		$5.88	$7.35	$37.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $16.64 / $29.22	Facility		$11.55	$16.64	$29.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $11.03 / $14.89	Professional		$7.50	$11.03	$14.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $14.70 / $39.93	Facility		$11.03	$14.70	$39.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $9.56 / $14.70	Professional		$9.56	$9.56	$14.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $16.93 / $21.17	Professional		$11.31	$16.93	$21.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $44.75 / $123.74	Facility		$13.97	$44.75	$123.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $13.97 / $22.04	Professional		$11.76	$13.97	$22.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $12.17 / $16.42	Professional		$10.95	$12.17	$16.42
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $12.04 / $14.70	Professional		$6.17	$12.04	$14.70