Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $13.33 / $46.00	Professional		$0.02	$13.33	$46.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $17.54 / $17.54	Professional		$17.54	$17.54	$17.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $12.44 / $12.44	Facility		$12.44	$12.44	$12.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $12.44 / $16.79	Professional		$8.46	$12.44	$16.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $32.40 / $83.22	Facility		$26.31	$32.40	$83.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $21.07 / $35.08	Professional		$21.07	$21.07	$35.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $23.13 / $28.91	Professional		$11.30	$23.13	$28.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $19.57	Facility		$0.02	$0.02	$19.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $19.57 / $47.64	Professional		$12.04	$19.57	$47.64
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 $9.01 / $12.63 / $23.78	Professional		$9.01	$12.63	$23.78