Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $23.00 / $141.69	Facility		$16.16	$23.00	$141.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $16.00 / $17.01	Professional		$13.24	$16.00	$17.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $39.43	Professional		$12.43	$12.43	$39.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.07 / $20.26 / $35.57	Facility		$14.07	$20.26	$35.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $13.43 / $18.13	Professional		$9.13	$13.43	$18.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $17.89 / $48.61	Facility		$13.43	$17.89	$48.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $11.64 / $17.89	Professional		$11.64	$11.64	$17.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $20.65 / $25.81	Professional		$12.99	$20.65	$25.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $20.32 / $141.69	Facility		$16.16	$20.32	$141.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $18.79 / $23.26	Professional		$15.30	$18.79	$23.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $14.82 / $20.00	Professional		$13.33	$14.82	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $12.56 / $13.24	Professional		$7.52	$12.56	$13.24