Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $29.36 / $99.36	Facility		$11.63	$29.36	$99.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $25.09 / $26.70	Professional		$18.27	$25.09	$26.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $19.51 / $19.51	Professional		$19.51	$19.51	$19.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $31.79 / $55.84	Facility		$22.08	$31.79	$55.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $21.08 / $28.46	Professional		$14.33	$21.08	$28.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $28.10 / $76.30	Facility		$21.08	$28.10	$76.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $18.27 / $28.10	Professional		$18.27	$18.27	$28.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $32.21 / $40.27	Professional		$21.61	$32.21	$40.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $28.03 / $99.36	Facility		$19.64	$28.03	$99.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $28.10 / $38.61	Professional		$24.03	$28.10	$38.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $23.27 / $31.41	Professional		$20.94	$23.27	$31.41
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $17.98 / $31.05	Professional		$11.80	$17.98	$31.05