Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $12.50 / $60.70	Facility		$10.88	$12.50	$60.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $10.92 / $21.48	Professional		$9.88	$10.92	$21.48
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 / $10.61 / $18.53	Facility		$7.57	$10.61	$18.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $33.11 / $37.27	Professional		$23.70	$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 / $14.42 / $60.70	Facility		$10.88	$14.42	$60.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $15.06 / $28.61	Professional		$10.85	$15.06	$28.61
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