Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $22.60 / $70.18	Facility		$12.30	$22.60	$70.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $11.65 / $15.11	Professional		$9.71	$11.65	$15.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $6.48 / $33.45	Professional		$5.18	$6.48	$33.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $14.64 / $25.72	Facility		$10.58	$14.64	$25.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $9.71 / $13.11	Professional		$6.60	$9.71	$13.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $12.95 / $35.17	Facility		$9.71	$12.95	$35.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $12.95	Professional		$8.42	$8.42	$12.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $14.87 / $18.59	Professional		$9.96	$14.87	$18.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $20.42 / $77.06	Facility		$12.30	$20.42	$77.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $12.30 / $17.78	Professional		$10.61	$12.30	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $10.73 / $14.48	Professional		$9.65	$10.73	$14.48
United Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $10.38 / $11.23	Professional		$5.44	$10.38	$11.23