Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $16.60 / $63.10	Facility		$12.30	$16.60	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $21.88	Professional		$8.91	$12.02	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.79 / $26.30	Facility		$9.77	$14.79	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.77 / $9.77	Professional		$9.33	$9.77	$9.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $36.31	Facility		$13.80	$13.80	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.79 / $18.62	Professional		$9.12	$14.79	$18.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $16.98 / $58.88	Facility		$12.30	$16.98	$58.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.85 / $26.30	Professional		$10.72	$15.85	$26.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $16.22	Professional		$8.32	$10.47	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $13.18 / $13.18	Facility		$6.61	$13.18	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.72 / $11.48	Professional		$5.50	$10.72	$11.48