Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $22.79 / $93.54	Facility		$15.58	$22.79	$93.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $12.48 / $34.54	Professional		$11.29	$12.48	$34.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Professional		$10.79	$10.79	$10.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $29.29 / $63.55	Facility		$15.91	$29.29	$63.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $12.95 / $17.48	Professional		$8.81	$12.95	$17.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $17.27 / $42.21	Facility		$12.95	$17.27	$42.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $17.27	Professional		$11.23	$11.23	$17.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $19.82 / $44.05	Professional		$9.96	$19.82	$44.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $25.60 / $98.46	Facility		$14.77	$25.60	$98.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $17.23 / $28.40	Professional		$11.54	$17.23	$28.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $14.30 / $19.30	Professional		$12.87	$14.30	$19.30
United Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $15.54 / $20.72	Facility		$7.25	$15.54	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.66 / $11.23	Professional		$7.25	$10.66	$11.23