Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $21.59 / $121.64	Facility		$16.47	$21.59	$121.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $18.87 / $24.97	Professional		$17.88	$18.87	$24.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.46 / $53.77	Professional		$8.32	$14.46	$53.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $23.54 / $41.35	Facility		$16.35	$23.54	$41.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $15.61 / $21.07	Professional		$10.61	$15.61	$21.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $20.81 / $56.53	Facility		$15.61	$20.81	$56.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $13.53 / $20.81	Professional		$13.53	$13.53	$20.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $23.95 / $29.94	Professional		$16.00	$23.95	$29.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $26.74 / $124.07	Facility		$17.79	$26.74	$124.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $24.71 / $33.43	Professional		$17.88	$24.71	$33.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $17.23 / $23.26	Professional		$15.50	$17.23	$23.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $12.76 / $18.05	Professional		$8.74	$12.76	$18.05