Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $34.17 / $104.49	Facility		$17.23	$34.17	$104.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $30.86 / $32.92	Professional		$15.70	$30.86	$32.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $12.60 / $12.60	Professional		$12.60	$12.60	$12.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $20.53 / $36.04	Facility		$14.26	$20.53	$36.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $13.61 / $18.37	Professional		$9.25	$13.61	$18.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $18.14 / $49.27	Facility		$13.61	$18.14	$49.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $11.79 / $18.14	Professional		$11.79	$11.79	$18.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $20.65 / $25.81	Professional		$11.46	$20.65	$25.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $30.69 / $128.63	Facility		$17.23	$30.69	$128.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $17.70 / $32.72	Professional		$15.82	$17.70	$32.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $15.02 / $20.27	Professional		$13.51	$15.02	$20.27
United Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $10.94 / $11.61	Professional		$7.62	$10.94	$11.61