Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $22.06 / $94.31	Facility		$10.00	$22.06	$94.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $19.12 / $20.20	Professional		$15.95	$19.12	$20.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $14.77 / $14.77	Professional		$14.77	$14.77	$14.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $24.06 / $42.25	Facility		$16.71	$24.06	$42.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $15.95 / $21.53	Professional		$10.85	$15.95	$21.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $21.26 / $57.75	Facility		$15.95	$21.26	$57.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $13.82 / $21.26	Professional		$13.82	$13.82	$21.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $24.37 / $30.46	Professional		$14.80	$24.37	$30.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $23.15 / $94.31	Facility		$18.18	$23.15	$94.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $20.20 / $26.57	Professional		$18.17	$20.20	$26.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $17.60 / $23.76	Professional		$15.84	$17.60	$23.76
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $12.76 / $15.09	Professional		$8.93	$12.76	$15.09