Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.70 / $13.47 / $33.15	Facility		$6.70	$13.47	$33.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $12.36 / $14.18	Professional		$11.88	$12.36	$14.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $9.84 / $9.84	Professional		$9.84	$9.84	$9.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $16.05 / $28.18	Facility		$11.14	$16.05	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.64 / $14.36	Professional		$7.24	$10.64	$14.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $14.18 / $38.49	Facility		$10.64	$14.18	$38.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $9.22 / $14.18	Professional		$9.22	$9.22	$14.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $16.52 / $20.65	Professional		$10.90	$16.52	$20.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $13.47 / $29.33	Facility		$11.18	$13.47	$29.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $14.18 / $19.64	Professional		$12.18	$14.18	$19.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $11.74 / $15.84	Professional		$10.56	$11.74	$15.84
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $11.67 / $12.19	Professional		$5.96	$11.67	$12.19