Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $25.96 / $74.28	Facility		$15.64	$25.96	$74.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $14.82 / $19.55	Professional		$13.97	$14.82	$19.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $11.43 / $25.00	Professional		$6.58	$11.43	$25.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $18.63 / $32.71	Facility		$12.94	$18.63	$32.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $12.35 / $16.67	Professional		$8.40	$12.35	$16.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $16.46 / $44.70	Facility		$12.35	$16.46	$44.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $10.70 / $16.46	Professional		$10.70	$10.70	$16.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $19.00 / $23.75	Professional		$12.66	$19.00	$23.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $24.48 / $95.71	Facility		$15.64	$24.48	$95.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $15.64 / $22.41	Professional		$14.07	$15.64	$22.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $13.63 / $18.40	Professional		$12.26	$13.63	$18.40
United Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $16.46 / $27.98	Facility		$16.46	$16.46	$27.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $13.48 / $14.29	Professional		$6.91	$13.48	$14.29