Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $11.53 / $114.38	Facility		$9.22	$11.53	$114.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $9.22 / $12.77	Professional		$8.35	$9.22	$12.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $4.86	Professional		$4.86	$4.86	$4.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $11.07 / $19.28	Facility		$7.92	$11.07	$19.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.28 / $9.83	Professional		$6.92	$7.28	$9.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $9.71 / $26.37	Facility		$7.28	$9.71	$26.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $9.71	Professional		$6.31	$6.31	$9.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $11.15 / $14.98	Professional		$7.46	$11.15	$14.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $9.22 / $38.64	Facility		$9.22	$9.22	$38.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $11.60 / $14.38	Professional		$9.22	$11.60	$14.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $8.03 / $10.85	Professional		$7.23	$8.03	$10.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $12.64 / $13.90	Professional		$5.83	$12.64	$13.90