Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $21.17 / $94.17	Facility		$9.63	$21.17	$94.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $18.51 / $20.17	Professional		$16.55	$18.51	$20.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $51.50	Professional		$14.74	$14.74	$51.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $24.01 / $42.17	Facility		$16.67	$24.01	$42.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $15.92 / $21.49	Professional		$10.83	$15.92	$21.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.92 / $21.23 / $57.66	Facility		$15.92	$21.23	$57.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $21.23	Professional		$13.80	$13.80	$21.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $24.37 / $30.46	Professional		$16.32	$24.37	$30.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $24.32 / $94.17	Facility		$12.10	$24.32	$94.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $20.17 / $28.66	Professional		$18.02	$20.17	$28.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $17.57 / $23.73	Professional		$15.82	$17.57	$23.73
United Facility/Professional Facility Modifier Low / Median / High Price $8.92 / $19.11 / $25.48	Facility		$8.92	$19.11	$25.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $17.47 / $23.46	Professional		$8.92	$17.47	$23.46