Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $24.39 / $114.51	Facility		$9.66	$24.39	$114.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $9.07 / $10.18	Professional		$8.52	$9.07	$10.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $7.07 / $7.07	Professional		$7.07	$7.07	$7.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $11.62 / $20.23	Facility		$8.32	$11.62	$20.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $7.64 / $10.31	Professional		$5.20	$7.64	$10.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $10.18 / $27.64	Facility		$7.64	$10.18	$27.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $6.62 / $10.18	Professional		$6.62	$6.62	$10.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $11.56 / $14.46	Professional		$7.70	$11.56	$14.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $30.83 / $122.52	Facility		$9.66	$30.83	$122.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $10.56 / $15.53	Professional		$8.73	$10.56	$15.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $8.43 / $11.38	Professional		$7.58	$8.43	$11.38
United Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $10.18 / $10.18	Facility		$5.09	$10.18	$10.18
United Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $7.41 / $7.85	Professional		$4.28	$7.41	$7.85