Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $46.12 / $87.59	Facility		$13.56	$46.12	$87.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $12.45 / $18.46	Professional		$11.42	$12.45	$18.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $9.51 / $33.79	Professional		$5.71	$9.51	$33.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $16.14 / $28.34	Facility		$11.21	$16.14	$28.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $10.70 / $14.45	Professional		$7.28	$10.70	$14.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $14.27 / $38.72	Facility		$10.70	$14.27	$38.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $14.27	Professional		$9.27	$9.27	$14.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $16.52 / $20.65	Professional		$10.97	$16.52	$20.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $41.02 / $142.09	Facility		$13.56	$41.02	$142.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $13.56 / $22.07	Professional		$11.47	$13.56	$22.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $11.81 / $15.94	Professional		$10.62	$11.81	$15.94
United Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $10.71 / $11.35	Professional		$5.99	$10.71	$11.35