Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $15.40 / $94.15	Facility		$12.23	$15.40	$94.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $11.45 / $15.40	Professional		$11.14	$11.45	$15.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $8.94 / $8.94	Professional		$8.94	$8.94	$8.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.51 / $14.55 / $25.56	Facility		$10.51	$14.55	$25.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $9.65 / $13.03	Professional		$6.56	$9.65	$13.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.65 / $12.87 / $34.95	Facility		$9.65	$12.87	$34.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $12.87	Professional		$8.36	$8.36	$12.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $14.87 / $18.59	Professional		$9.90	$14.87	$18.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $17.14 / $102.30	Facility		$12.23	$17.14	$102.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $14.16 / $19.71	Professional		$11.14	$14.16	$19.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $10.65 / $14.37	Professional		$9.58	$10.65	$14.37
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $12.87 / $18.44	Professional		$7.72	$12.87	$18.44