Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $22.25 / $64.53	Facility		$18.37	$22.25	$64.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $17.42 / $33.74	Professional		$14.32	$17.42	$33.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $9.68 / $13.44	Professional		$9.68	$9.68	$13.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $21.88 / $38.44	Facility		$15.20	$21.88	$38.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $14.51 / $19.59	Professional		$9.86	$14.51	$19.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $19.35 / $52.57	Facility		$14.51	$19.35	$52.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $19.35	Professional		$12.58	$12.58	$19.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $22.30 / $27.88	Professional		$14.88	$22.30	$27.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $24.47 / $64.53	Facility		$17.23	$24.47	$64.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.38 / $31.66	Professional		$15.85	$18.38	$31.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $16.03 / $21.64	Professional		$14.42	$16.03	$21.64
United Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $19.35 / $19.35	Facility		$9.68	$19.35	$19.35
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $15.93 / $16.79	Professional		$8.13	$15.93	$16.79