Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $29.20 / $99.30	Facility		$17.57	$29.20	$99.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $16.54 / $22.22	Professional		$13.69	$16.54	$22.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.26 / $47.84	Professional		$7.41	$9.26	$47.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $20.95 / $36.79	Facility		$14.48	$20.95	$36.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.89 / $18.75	Professional		$13.20	$13.89	$18.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $18.52 / $50.28	Facility		$13.89	$18.52	$50.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.04 / $18.52	Professional		$12.04	$12.04	$18.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $21.06 / $63.00	Professional		$14.24	$21.06	$63.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $30.78 / $105.06	Facility		$17.57	$30.78	$105.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.59 / $28.61	Professional		$14.45	$17.59	$28.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.34 / $20.70	Professional		$13.80	$15.34	$20.70
United Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $15.16 / $16.07	Professional		$7.78	$15.16	$16.07