Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $24.18 / $37.72	Facility		$21.76	$24.18	$37.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $20.87 / $24.18	Professional		$10.34	$20.87	$24.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $15.91 / $15.91	Professional		$15.91	$15.91	$15.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $28.79 / $50.57	Facility		$19.98	$28.79	$50.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $19.09 / $25.77	Professional		$12.98	$19.09	$25.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $25.45 / $59.76	Facility		$19.09	$25.45	$59.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $25.45	Professional		$16.54	$16.54	$25.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $29.32 / $38.72	Professional		$14.25	$29.32	$38.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $24.18 / $42.32	Facility		$21.76	$24.18	$42.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $24.43 / $30.54	Professional		$10.50	$24.43	$30.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $21.08 / $28.45	Professional		$18.97	$21.08	$28.45
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $15.27 / $16.29	Professional		$10.69	$15.27	$16.29