Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.55 / $88.54	Facility		$15.14	$25.55	$88.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.85 / $22.14	Professional		$14.27	$14.85	$22.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $11.83 / $11.83	Professional		$11.83	$11.83	$11.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $19.26 / $33.83	Facility		$13.38	$19.26	$33.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $12.77 / $17.23	Professional		$8.68	$12.77	$17.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $17.03 / $46.24	Facility		$12.77	$17.03	$46.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $11.07 / $17.03	Professional		$11.07	$11.07	$17.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $19.82 / $24.78	Professional		$11.31	$19.82	$24.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $22.04 / $89.60	Facility		$15.36	$22.04	$89.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $16.18 / $22.99	Professional		$14.48	$16.18	$22.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $14.10 / $19.03	Professional		$12.69	$14.10	$19.03
United Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $17.03 / $28.94	Facility		$17.03	$17.03	$28.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $10.22 / $13.65	Professional		$7.15	$10.22	$13.65