Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.47 / $22.51 / $78.69	Facility		$13.47	$22.51	$78.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $12.77 / $16.55	Professional		$11.06	$12.77	$16.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $7.09 / $36.63	Professional		$7.09	$7.09	$36.63
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 $13.47 / $21.01 / $82.48	Facility		$13.47	$21.01	$82.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $14.14 / $19.64	Professional		$12.12	$14.14	$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 / $9.08 / $12.30	Professional		$5.96	$9.08	$12.30