Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $18.59 / $92.96	Facility		$17.01	$18.59	$92.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $15.29 / $19.71	Professional		$14.69	$15.29	$19.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $11.71 / $43.58	Professional		$11.71	$11.71	$43.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $20.27 / $35.60	Facility		$14.08	$20.27	$35.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $13.44 / $18.14	Professional		$9.14	$13.44	$18.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $17.92 / $45.80	Facility		$13.44	$17.92	$45.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $11.65 / $17.92	Professional		$11.65	$11.65	$17.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $20.65 / $25.81	Professional		$12.97	$20.65	$25.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $21.44 / $92.96	Facility		$17.01	$21.44	$92.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $17.92 / $25.08	Professional		$14.71	$17.92	$25.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $14.84 / $20.03	Professional		$13.35	$14.84	$20.03
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $11.47 / $17.92	Professional		$7.53	$11.47	$17.92