Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $60.06 / $243.36	Facility		$17.03	$60.06	$243.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $63.92 / $143.82	Professional		$15.63	$63.92	$143.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $7.17 / $25.70	Professional		$7.17	$7.17	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $20.29 / $35.63	Facility		$14.09	$20.29	$35.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $13.45 / $18.16	Professional		$9.15	$13.45	$18.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $17.93 / $48.71	Facility		$13.45	$17.93	$48.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $11.65 / $17.93	Professional		$11.65	$11.65	$17.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $20.65 / $25.81	Professional		$12.35	$20.65	$25.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $51.09 / $232.89	Facility		$17.03	$51.09	$232.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $21.45 / $111.86	Professional		$15.65	$21.45	$111.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $14.85 / $20.04	Professional		$13.36	$14.85	$20.04
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $11.88 / $19.80	Professional		$7.53	$11.88	$19.80