Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $17.70 / $56.70	Facility		$10.19	$17.70	$56.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.72 / $10.74	Professional		$9.36	$9.72	$10.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $7.46	Professional		$4.30	$4.30	$7.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $9.55 / $16.53	Facility		$6.75	$9.55	$16.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $27.22 / $36.29	Professional		$25.08	$27.22	$36.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $10.74 / $29.15	Facility		$8.06	$10.74	$29.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $6.98 / $10.74	Professional		$6.98	$6.98	$10.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $21.48 / $26.90	Professional		$10.74	$21.48	$26.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $15.91 / $67.48	Facility		$10.19	$15.91	$67.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $11.27 / $23.77	Professional		$9.57	$11.27	$23.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $10.16 / $15.24	Professional		$8.01	$10.16	$15.24
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $8.19 / $9.32	Professional		$4.51	$8.19	$9.32