Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $31.36 / $71.69	Facility		$8.00	$31.36	$71.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $19.55 / $25.98	Professional		$16.07	$19.55	$25.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $10.87 / $48.06	Professional		$10.87	$10.87	$48.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $24.58 / $43.18	Facility		$17.07	$24.58	$43.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $16.30 / $22.01	Professional		$11.08	$16.30	$22.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $21.73 / $59.02	Facility		$16.30	$21.73	$59.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.12 / $21.73	Professional		$14.12	$14.12	$21.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $24.78 / $30.98	Professional		$15.83	$24.78	$30.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7.09 / $24.77 / $71.91	Facility		$7.09	$24.77	$71.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $20.64 / $28.50	Professional		$16.07	$20.64	$28.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $15.32 / $16.14	Professional		$9.13	$15.32	$16.14