Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $23.00 / $92.66	Facility		$18.80	$23.00	$92.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $19.18 / $20.89	Professional		$18.03	$19.18	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $8.80 / $15.28	Professional		$8.80	$8.80	$15.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $24.87 / $43.68	Facility		$17.27	$24.87	$43.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $16.48 / $22.26	Professional		$11.21	$16.48	$22.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $21.99 / $59.73	Facility		$16.48	$21.99	$59.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $14.29 / $21.99	Professional		$14.29	$14.29	$21.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $25.19 / $31.49	Professional		$16.91	$25.19	$31.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $26.11 / $92.24	Facility		$19.59	$26.11	$92.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $23.46 / $30.22	Professional		$18.71	$23.46	$30.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $18.21 / $24.58	Professional		$16.38	$18.21	$24.58
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $18.01 / $19.09	Professional		$9.24	$18.01	$19.09