Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $40.04 / $114.81	Facility		$18.41	$40.04	$114.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $16.89 / $25.49	Professional		$14.33	$16.89	$25.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $9.69 / $50.07	Professional		$7.75	$9.69	$50.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $21.73 / $38.52	Facility		$15.16	$21.73	$38.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $14.54 / $19.63	Professional		$13.81	$14.54	$19.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $19.38 / $52.61	Facility		$14.54	$19.38	$52.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $12.60 / $19.38	Professional		$12.60	$12.60	$19.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $22.30 / $27.88	Professional		$14.90	$22.30	$27.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $40.22 / $147.00	Facility		$18.41	$40.22	$147.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $18.41 / $34.10	Professional		$15.88	$18.41	$34.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $16.04 / $21.65	Professional		$14.43	$16.04	$21.65
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $15.95 / $16.82	Professional		$8.14	$15.95	$16.82