Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $21.15 / $94.84	Facility		$16.72	$21.15	$94.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $15.22 / $21.21	Professional		$14.34	$15.22	$21.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $24.00 / $42.14	Facility		$16.66	$24.00	$42.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $15.91 / $21.48	Professional		$10.82	$15.91	$21.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $21.21 / $51.83	Facility		$15.91	$21.21	$51.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $13.79 / $21.21	Professional		$13.79	$13.79	$21.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $24.37 / $30.46	Professional		$12.65	$24.37	$30.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $21.91 / $94.84	Facility		$17.73	$21.91	$94.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $21.21 / $27.37	Professional		$14.66	$21.21	$27.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $17.55 / $23.70	Professional		$15.80	$17.55	$23.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.54 / $14.28	Professional		$8.91	$13.54	$14.28