Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $37.49 / $98.80	Facility		$9.80	$37.49	$98.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $22.09 / $30.87	Professional		$18.07	$22.09	$30.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $12.91 / $66.70	Professional		$10.32	$12.91	$66.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $29.20 / $51.28	Facility		$20.28	$29.20	$51.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $19.36 / $26.14	Professional		$13.16	$19.36	$26.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $25.81 / $70.09	Facility		$19.36	$25.81	$70.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $16.78 / $25.81	Professional		$16.78	$16.78	$25.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $29.74 / $37.17	Professional		$19.85	$29.74	$37.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $34.38 / $116.17	Facility		$9.50	$34.38	$116.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $24.52 / $39.53	Professional		$19.36	$24.52	$39.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $21.37 / $28.84	Professional		$19.23	$21.37	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $16.52 / $22.40	Professional		$10.84	$16.52	$22.40