Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $41.59 / $97.43	Facility		$17.64	$41.59	$97.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $16.59 / $22.30	Professional		$13.74	$16.59	$22.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $9.28 / $48.01	Professional		$7.43	$9.28	$48.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $20.83 / $36.93	Facility		$14.53	$20.83	$36.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $13.94 / $18.82	Professional		$13.24	$13.94	$18.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $18.57 / $50.47	Facility		$13.94	$18.57	$50.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $12.08 / $18.57	Professional		$12.08	$12.08	$18.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $21.06 / $63.23	Professional		$14.29	$21.06	$63.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $34.36 / $145.72	Facility		$17.64	$34.36	$145.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $17.64 / $28.32	Professional		$14.86	$17.64	$28.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $15.38 / $20.76	Professional		$13.84	$15.38	$20.76
United Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $11.89 / $20.53	Professional		$7.80	$11.89	$20.53