Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $20.41 / $62.99	Facility		$10.94	$20.41	$62.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $10.13 / $20.26	Professional		$9.67	$10.13	$20.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $7.21 / $7.21	Professional		$7.21	$7.21	$7.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $13.05 / $22.91	Facility		$9.42	$13.05	$22.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $8.65 / $11.68	Professional		$5.88	$8.65	$11.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $11.53 / $27.22	Facility		$8.65	$11.53	$27.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $7.49 / $11.53	Professional		$7.49	$7.49	$11.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $13.22 / $17.55	Professional		$6.46	$13.22	$17.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $17.07 / $74.95	Facility		$10.94	$17.07	$74.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $11.07 / $20.07	Professional		$9.90	$11.07	$20.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $9.55 / $12.89	Professional		$8.59	$9.55	$12.89
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.92 / $11.53	Professional		$4.84	$6.92	$11.53