Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $17.50 / $110.20	Facility		$10.31	$17.50	$110.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $10.50 / $21.58	Professional		$10.34	$10.50	$21.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $31.14 / $31.14	Professional		$31.14	$31.14	$31.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $10.59 / $18.53	Facility		$7.57	$10.59	$18.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $33.11 / $37.27	Professional		$26.40	$33.11	$37.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $12.05 / $32.72	Facility		$9.03	$12.05	$32.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $7.83 / $12.05	Professional		$7.83	$7.83	$12.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $21.48 / $28.13	Professional		$12.05	$21.48	$28.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $16.23 / $110.20	Facility		$10.88	$16.23	$110.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $14.46 / $27.53	Professional		$10.42	$14.46	$27.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $10.16 / $15.24	Professional		$8.98	$10.16	$15.24
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $9.92 / $10.46	Professional		$5.05	$9.92	$10.46