Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $40.50 / $97.06	Facility		$17.46	$40.50	$97.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $16.39 / $22.07	Professional		$13.79	$16.39	$22.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $9.19 / $36.50	Professional		$7.36	$9.19	$36.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $20.80 / $36.53	Facility		$14.44	$20.80	$36.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $13.79 / $18.62	Professional		$9.38	$13.79	$18.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $18.39 / $49.96	Facility		$13.79	$18.39	$49.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $11.95 / $18.39	Professional		$11.95	$11.95	$18.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $21.06 / $26.33	Professional		$14.14	$21.06	$26.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $36.00 / $142.58	Facility		$17.46	$36.00	$142.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $18.34 / $33.40	Professional		$15.07	$18.34	$33.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $15.23 / $20.56	Professional		$13.70	$15.23	$20.56
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $15.14 / $15.96	Professional		$7.72	$15.14	$15.96