Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $18.50 / $56.68	Facility		$16.94	$18.50	$56.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $15.54 / $20.82	Professional		$15.16	$15.54	$20.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $7.13 / $12.38	Professional		$7.13	$7.13	$12.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $15.29 / $26.60	Facility		$11.07	$15.29	$26.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $31.20 / $41.60	Professional		$25.08	$31.20	$41.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $17.82 / $48.41	Facility		$13.37	$17.82	$48.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $17.82	Professional		$11.59	$11.59	$17.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $23.20 / $46.76	Professional		$17.82	$23.20	$46.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $18.50 / $56.68	Facility		$16.94	$18.50	$56.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $17.96 / $34.94	Professional		$15.42	$17.96	$34.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $13.29 / $19.93	Professional		$10.16	$13.29	$19.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $11.05 / $18.98	Professional		$7.49	$11.05	$18.98