Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.30 / $31.75 / $127.47	Facility		$14.30	$31.75	$127.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $13.55 / $18.01	Professional		$12.04	$13.55	$18.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $7.53 / $14.43	Professional		$6.02	$7.53	$14.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.77 / $17.03 / $29.91	Facility		$11.77	$17.03	$29.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $11.29 / $15.24	Professional		$10.73	$11.29	$15.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $15.05 / $40.89	Facility		$11.29	$15.05	$40.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $15.05	Professional		$9.77	$9.77	$15.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $15.05 / $25.61	Professional		$7.72	$15.05	$25.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.30 / $33.58 / $130.15	Facility		$14.30	$33.58	$130.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $13.65 / $21.07	Professional		$7.44	$13.65	$21.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.47 / $16.83	Professional		$11.22	$12.47	$16.83
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.91 / $15.05	Professional		$4.68	$7.91	$15.05