Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $26.65 / $99.63	Facility		$16.07	$26.65	$99.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $14.78 / $20.26	Professional		$11.86	$14.78	$20.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $11.76 / $43.78	Professional		$8.47	$11.76	$43.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $19.17 / $33.67	Facility		$13.31	$19.17	$33.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $12.71 / $17.16	Professional		$8.64	$12.71	$17.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.71 / $16.94 / $45.99	Facility		$12.71	$16.94	$45.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $11.01 / $16.94	Professional		$11.01	$11.01	$16.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $19.41 / $24.26	Professional		$13.02	$19.41	$24.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $28.16 / $120.10	Facility		$16.07	$28.16	$120.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $16.09 / $31.29	Professional		$12.71	$16.09	$31.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $14.03 / $18.94	Professional		$12.62	$14.03	$18.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $10.84 / $14.70	Professional		$7.11	$10.84	$14.70