Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.65 / $30.25 / $97.28	Facility		$10.65	$30.25	$97.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $22.19 / $24.20	Professional		$19.10	$22.19	$24.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $12.74 / $65.79	Professional		$10.19	$12.74	$65.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.01 / $28.81 / $50.59	Facility		$20.01	$28.81	$50.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $19.10 / $25.79	Professional		$12.99	$19.10	$25.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $25.47 / $69.17	Facility		$19.10	$25.47	$69.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $16.55 / $25.47	Professional		$16.55	$16.55	$25.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $29.32 / $36.65	Professional		$19.57	$29.32	$36.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $31.94 / $99.89	Facility		$9.42	$31.94	$99.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $24.20 / $33.90	Professional		$20.87	$24.20	$33.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $21.09 / $28.47	Professional		$18.98	$21.09	$28.47
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.62 / $22.09	Professional		$10.70	$15.62	$22.09