Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $24.04 / $112.16	Facility		$21.76	$24.04	$112.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $16.37 / $22.90	Professional		$15.73	$16.37	$22.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $15.07 / $15.07	Professional		$15.07	$15.07	$15.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $27.27 / $47.89	Facility		$18.94	$27.27	$47.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $18.07 / $24.41	Professional		$12.29	$18.07	$24.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $24.11 / $58.93	Facility		$18.07	$24.11	$58.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $15.67 / $24.11	Professional		$15.67	$15.67	$24.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $28.08 / $35.11	Professional		$13.89	$28.08	$35.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $22.90 / $59.21	Facility		$19.01	$22.90	$59.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $20.73 / $28.93	Professional		$15.51	$20.73	$28.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $10.01 / $15.43	Professional		$7.14	$10.01	$15.43