Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $47.40 / $144.00	Facility		$12.94	$47.40	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $9.02 / $12.47	Professional		$8.57	$9.02	$12.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $5.61 / $7.79	Professional		$5.61	$5.61	$7.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $14.10 / $24.77	Facility		$10.19	$14.10	$24.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $9.35 / $12.62	Professional		$6.36	$9.35	$12.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $12.47 / $30.47	Facility		$9.35	$12.47	$30.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.11 / $12.47	Professional		$8.11	$8.11	$12.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $14.46 / $18.07	Professional		$7.57	$14.46	$18.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $53.95 / $163.94	Facility		$11.85	$53.95	$163.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $12.94 / $25.88	Professional		$8.76	$12.94	$25.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $10.32 / $13.93	Professional		$9.28	$10.32	$13.93
United Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $8.05 / $8.53	Professional		$5.24	$8.05	$8.53