Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $19.32 / $70.48	Facility		$12.24	$19.32	$70.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.68 / $23.20	Professional		$11.23	$11.68	$23.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $8.59 / $33.29	Professional		$5.15	$8.59	$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 / $19.11 / $74.06	Facility		$12.24	$19.11	$74.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $12.88 / $22.96	Professional		$11.23	$12.88	$22.96
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 / $10.33 / $11.18	Professional		$5.41	$10.33	$11.18