Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $31.18 / $124.39	Facility		$16.41	$31.18	$124.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $23.08 / $34.54	Professional		$12.48	$23.08	$34.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $10.80 / $10.80	Professional		$10.80	$10.80	$10.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $19.53 / $34.29	Facility		$13.56	$19.53	$34.29
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 / $40.11	Facility		$12.95	$17.27	$40.11
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 $9.67 / $19.82 / $26.33	Professional		$9.67	$19.82	$26.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $30.15 / $136.62	Facility		$16.41	$30.15	$136.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $16.57 / $28.72	Professional		$15.54	$16.57	$28.72
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 Professional Modifier Low / Median / High Price $7.25 / $10.36 / $11.05	Professional		$7.25	$10.36	$11.05