Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $17.57 / $97.13	Facility		$13.36	$17.57	$97.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $15.09 / $29.52	Professional		$14.20	$15.09	$29.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $11.76 / $11.76	Professional		$11.76	$11.76	$11.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $19.17 / $33.67	Facility		$13.31	$19.17	$33.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $12.71 / $17.16	Professional		$8.64	$12.71	$17.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $16.94 / $45.99	Facility		$12.71	$16.94	$45.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $11.01 / $16.94	Professional		$11.01	$11.01	$16.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $19.41 / $25.81	Professional		$13.02	$19.41	$25.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $17.57 / $55.93	Facility		$14.48	$17.57	$55.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $20.11 / $25.83	Professional		$14.56	$20.11	$25.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $14.03 / $18.94	Professional		$12.62	$14.03	$18.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $10.39 / $14.70	Professional		$7.11	$10.39	$14.70