Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $18.16 / $61.48	Facility		$13.80	$18.16	$61.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.76 / $14.53	Professional		$13.15	$13.76	$14.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $17.30 / $30.38	Facility		$12.01	$17.30	$30.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $11.47 / $15.48	Professional		$7.80	$11.47	$15.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $15.29 / $41.52	Facility		$11.47	$15.29	$41.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $15.29	Professional		$9.94	$9.94	$15.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $17.35 / $21.68	Professional		$11.31	$17.35	$21.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $18.30 / $112.10	Facility		$13.08	$18.30	$112.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $15.29 / $20.26	Professional		$13.08	$15.29	$20.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $12.66 / $17.09	Professional		$11.39	$12.66	$17.09
United Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $10.88 / $11.53	Professional		$6.42	$10.88	$11.53