Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $28.73 / $98.89	Facility		$19.82	$28.73	$98.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $18.19 / $25.03	Professional		$15.43	$18.19	$25.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $10.43 / $29.70	Professional		$8.34	$10.43	$29.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $23.60 / $41.46	Facility		$16.30	$23.60	$41.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $15.65 / $21.13	Professional		$14.87	$15.65	$21.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $20.86 / $56.65	Facility		$15.65	$20.86	$56.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $20.86	Professional		$13.56	$13.56	$20.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $23.95 / $29.94	Professional		$16.04	$23.95	$29.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $30.92 / $136.41	Facility		$19.82	$30.92	$136.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $19.82 / $32.11	Professional		$15.65	$19.82	$32.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $17.27 / $23.31	Professional		$15.54	$17.27	$23.31
United Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $17.17 / $17.93	Professional		$8.76	$17.17	$17.93