Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $18.94 / $84.50	Facility		$13.13	$18.94	$84.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $12.68 / $17.41	Professional		$10.80	$12.68	$17.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $5.82 / $37.59	Professional		$5.82	$5.82	$37.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $16.45 / $28.90	Facility		$11.43	$16.45	$28.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $10.91 / $10.91	Professional		$9.27	$10.91	$10.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $14.55 / $39.51	Facility		$10.91	$14.55	$39.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $9.46 / $14.55	Professional		$9.46	$9.46	$14.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $16.93 / $21.17	Professional		$11.19	$16.93	$21.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $20.64 / $97.47	Facility		$13.10	$20.64	$97.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $13.82 / $24.08	Professional		$11.92	$13.82	$24.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $12.05 / $16.26	Professional		$10.84	$12.05	$16.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $8.93 / $14.55	Professional		$6.11	$8.93	$14.55