Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $25.31 / $199.27	Facility		$7.62	$25.31	$199.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $27.92 / $28.84	Professional		$7.14	$27.92	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.57 / $5.57	Professional		$5.57	$5.57	$5.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.56 / $9.41 / $15.95	Facility		$6.56	$9.41	$15.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $6.02 / $8.13	Professional		$4.09	$6.02	$8.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $8.02 / $21.77	Facility		$6.02	$8.02	$21.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $5.21 / $8.02	Professional		$5.21	$5.21	$8.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $9.50 / $12.39	Professional		$6.16	$9.50	$12.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $9.60 / $185.97	Facility		$6.86	$9.60	$185.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $7.62 / $28.56	Professional		$6.79	$7.62	$28.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $6.64 / $8.96	Professional		$5.97	$6.64	$8.96
United Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $4.26 / $7.17	Professional		$3.12	$4.26	$7.17