Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $23.92 / $63.50	Facility		$13.67	$23.92	$63.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $12.56 / $14.39	Professional		$11.95	$12.56	$14.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $7.20 / $30.65	Professional		$5.76	$7.20	$30.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $16.27 / $28.58	Facility		$11.30	$16.27	$28.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $10.79 / $14.57	Professional		$7.34	$10.79	$14.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $14.39 / $39.07	Facility		$10.79	$14.39	$39.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $14.39	Professional		$9.35	$9.35	$14.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $16.52 / $20.65	Professional		$11.06	$16.52	$20.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $24.15 / $66.63	Facility		$13.66	$24.15	$66.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $13.67 / $19.64	Professional		$12.06	$13.67	$19.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $11.91 / $16.07	Professional		$10.71	$11.91	$16.07
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $11.27 / $11.94	Professional		$6.04	$11.27	$11.94