Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $17.16 / $69.11	Facility		$14.24	$17.16	$69.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $17.16 / $24.80	Professional		$13.35	$17.16	$24.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $12.54 / $30.10	Professional		$12.54	$12.54	$30.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $20.44 / $35.89	Facility		$14.19	$20.44	$35.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $13.55 / $18.29	Professional		$9.21	$13.55	$18.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $18.05 / $49.03	Facility		$13.55	$18.05	$49.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $11.74 / $18.05	Professional		$11.74	$11.74	$18.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $20.65 / $30.73	Professional		$13.89	$20.65	$30.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $17.16 / $35.11	Facility		$14.24	$17.16	$35.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $17.16 / $22.57	Professional		$15.51	$17.16	$22.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $14.95 / $20.18	Professional		$13.45	$14.95	$20.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $9.76 / $14.48	Professional		$7.14	$9.76	$14.48