Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $21.63 / $71.20	Facility		$11.76	$21.63	$71.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $11.15 / $14.25	Professional		$10.53	$11.15	$14.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $8.60 / $32.01	Professional		$6.20	$8.60	$32.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $14.01 / $24.61	Facility		$10.11	$14.01	$24.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $9.28 / $12.54	Professional		$6.32	$9.28	$12.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.28 / $12.39 / $33.63	Facility		$9.28	$12.39	$33.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $8.05 / $12.39	Professional		$8.05	$8.05	$12.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $14.04 / $17.55	Professional		$9.52	$14.04	$17.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $17.98 / $72.37	Facility		$11.76	$17.98	$72.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $11.77 / $16.50	Professional		$10.59	$11.77	$16.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $10.26 / $13.85	Professional		$9.23	$10.26	$13.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $10.14 / $10.75	Professional		$5.20	$10.14	$10.75