Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $19.70 / $64.77	Facility		$18.71	$19.70	$64.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $18.72 / $23.64	Professional		$16.14	$18.72	$23.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $33.00	Professional		$33.00	$33.00	$33.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $22.29 / $39.15	Facility		$15.48	$22.29	$39.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $14.78 / $19.95	Professional		$10.05	$14.78	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $19.70 / $53.30	Facility		$14.78	$19.70	$53.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $12.81 / $19.70	Professional		$12.81	$12.81	$19.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $22.72 / $28.39	Professional		$15.09	$22.72	$28.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $21.19 / $53.20	Facility		$18.71	$21.19	$53.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $21.19 / $24.62	Professional		$17.53	$21.19	$24.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $16.30 / $22.01	Professional		$14.67	$16.30	$22.01
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $13.03 / $13.81	Professional		$8.27	$13.03	$13.81