Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $27.48 / $53.15	Facility		$12.58	$27.48	$53.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $11.93 / $19.85	Professional		$11.24	$11.93	$19.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $6.62 / $30.08	Professional		$5.30	$6.62	$30.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $14.98 / $26.30	Facility		$10.82	$14.98	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.93 / $13.41	Professional		$6.75	$9.93	$13.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $13.24 / $35.95	Facility		$9.93	$13.24	$35.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $13.24	Professional		$8.61	$8.61	$13.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $15.28 / $20.14	Professional		$10.18	$15.28	$20.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $24.66 / $57.61	Facility		$12.58	$24.66	$57.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $12.98 / $20.89	Professional		$11.32	$12.98	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.87 / $10.97 / $14.80	Professional		$9.87	$10.97	$14.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $9.52 / $10.41	Professional		$5.56	$9.52	$10.41