Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $16.05 / $28.05	Facility		$12.83	$16.05	$28.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $12.84 / $18.91	Professional		$11.63	$12.84	$18.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $5.41 / $5.41	Professional		$5.41	$5.41	$5.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $15.29 / $26.86	Facility		$11.05	$15.29	$26.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $10.14 / $13.69	Professional		$6.90	$10.14	$13.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $13.52 / $36.71	Facility		$10.14	$13.52	$36.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $8.78 / $13.52	Professional		$8.78	$8.78	$13.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $15.69 / $20.65	Professional		$10.39	$15.69	$20.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $16.17 / $57.84	Facility		$12.83	$16.17	$57.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $16.22 / $18.92	Professional		$12.20	$16.22	$18.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $11.20 / $15.12	Professional		$10.08	$11.20	$15.12
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $13.52 / $13.52	Facility		$6.76	$13.52	$13.52
United Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $10.88 / $11.53	Professional		$5.68	$10.88	$11.53