Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $17.52 / $70.89	Facility		$12.24	$17.52	$70.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $11.68 / $12.88	Professional		$10.30	$11.68	$12.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $8.94 / $33.29	Professional		$5.15	$8.94	$33.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $14.57 / $25.59	Facility		$10.52	$14.57	$25.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $9.66 / $13.04	Professional		$6.57	$9.66	$13.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $12.88 / $34.97	Facility		$9.66	$12.88	$34.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $12.88	Professional		$8.36	$8.36	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $14.87 / $18.59	Professional		$9.90	$14.87	$18.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $17.16 / $71.84	Facility		$12.24	$17.16	$71.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $17.84	Professional		$10.96	$12.88	$17.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $10.66 / $14.39	Professional		$9.59	$10.66	$14.39
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $10.55 / $11.18	Professional		$5.41	$10.55	$11.18