Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $21.70 / $67.15	Facility		$12.40	$21.70	$67.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $11.74 / $13.05	Professional		$11.09	$11.74	$13.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $9.06 / $33.72	Professional		$5.22	$9.06	$33.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.67 / $14.77 / $25.93	Facility		$10.67	$14.77	$25.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $9.78 / $13.22	Professional		$6.66	$9.78	$13.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.78 / $13.05 / $35.43	Facility		$9.78	$13.05	$35.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $8.48 / $13.05	Professional		$8.48	$8.48	$13.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $14.87 / $18.59	Professional		$10.02	$14.87	$18.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $17.38 / $66.98	Facility		$12.40	$17.38	$66.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $13.05 / $17.84	Professional		$11.16	$13.05	$17.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $10.81 / $14.59	Professional		$9.72	$10.81	$14.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $10.74 / $11.32	Professional		$5.48	$10.74	$11.32