Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $12.27 / $95.42	Facility		$11.00	$12.27	$95.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.70 / $12.27	Professional		$11.11	$11.70	$12.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $5.17 / $8.97	Professional		$5.17	$5.17	$8.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $14.61 / $25.67	Facility		$10.56	$14.61	$25.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $9.69 / $13.08	Professional		$6.59	$9.69	$13.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $12.92 / $35.07	Facility		$9.69	$12.92	$35.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $8.40 / $12.92	Professional		$8.40	$8.40	$12.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $14.87 / $18.59	Professional		$9.93	$14.87	$18.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $12.49 / $47.63	Facility		$11.66	$12.49	$47.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $15.50 / $19.68	Professional		$11.62	$15.50	$19.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $10.70 / $14.44	Professional		$9.63	$10.70	$14.44
United Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $7.92 / $11.21	Professional		$5.43	$7.92	$11.21