Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $19.77 / $30.84	Facility		$18.39	$19.77	$30.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $18.87 / $24.89	Professional		$17.05	$18.87	$24.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Professional		$14.46	$14.46	$14.46
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 $13.19 / $23.95 / $29.94	Professional		$13.19	$23.95	$29.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $19.77 / $34.60	Facility		$18.39	$19.77	$34.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $24.97 / $31.86	Professional		$18.73	$24.97	$31.86
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 / $13.32 / $18.05	Professional		$8.74	$13.32	$18.05