Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $14.04 / $25.19	Facility		$12.64	$14.04	$25.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $13.32 / $14.04	Professional		$9.61	$13.32	$14.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $10.27	Professional		$10.27	$10.27	$10.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $16.73 / $29.38	Facility		$11.62	$16.73	$29.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $11.09 / $14.97	Professional		$7.54	$11.09	$14.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $14.78 / $40.15	Facility		$11.09	$14.78	$40.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $14.78	Professional		$9.61	$9.61	$14.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $16.93 / $21.17	Professional		$9.42	$16.93	$21.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $14.04 / $25.80	Facility		$12.63	$14.04	$25.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $13.41 / $18.47	Professional		$12.63	$13.41	$18.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $12.24 / $16.52	Professional		$11.01	$12.24	$16.52
United Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $7.82 / $13.35	Professional		$5.82	$7.82	$13.35