Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $48.79 / $143.63	Facility		$15.96	$48.79	$143.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $14.41 / $20.75	Professional		$11.76	$14.41	$20.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $8.40 / $43.41	Professional		$6.72	$8.40	$43.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $19.00 / $33.38	Facility		$13.20	$19.00	$33.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $12.60 / $17.01	Professional		$8.57	$12.60	$17.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $16.80 / $45.62	Facility		$12.60	$16.80	$45.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $10.92 / $16.80	Professional		$10.92	$10.92	$16.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $19.41 / $24.26	Professional		$12.92	$19.41	$24.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $55.20 / $162.44	Facility		$15.96	$55.20	$162.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $16.46 / $36.83	Professional		$13.10	$16.46	$36.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $13.91 / $18.77	Professional		$12.51	$13.91	$18.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $13.83 / $14.58	Professional		$7.06	$13.83	$14.58