Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $34.84 / $88.92	Facility		$11.40	$34.84	$88.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $20.94 / $24.00	Professional		$10.40	$20.94	$24.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $24.52	Professional		$4.80	$4.80	$24.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $9.78 / $11.24	Facility		$9.00	$9.78	$11.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $9.00 / $12.15	Professional		$6.12	$9.00	$12.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $12.00 / $32.57	Facility		$9.00	$12.00	$32.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $7.80 / $12.00	Professional		$7.80	$7.80	$12.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $13.63 / $17.04	Professional		$8.07	$13.63	$17.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $26.47 / $123.30	Facility		$11.40	$26.47	$123.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.72 / $21.78	Professional		$10.47	$12.72	$21.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $9.94 / $13.41	Professional		$8.94	$9.94	$13.41
United Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $7.20 / $8.23	Professional		$5.04	$7.20	$8.23