Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.97 / $13.72 / $102.04	Facility		$8.97	$13.72	$102.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $8.42 / $9.44	Professional		$8.10	$8.42	$9.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $3.78 / $24.37	Professional		$3.78	$3.78	$24.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.71 / $11.06 / $18.75	Facility		$7.71	$11.06	$18.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $7.08 / $9.56	Professional		$4.80	$7.08	$9.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $9.44 / $25.64	Facility		$7.08	$9.44	$25.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $9.44	Professional		$6.14	$6.14	$9.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $10.74 / $13.42	Professional		$7.26	$10.74	$13.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.97 / $13.99 / $102.04	Facility		$8.97	$13.99	$102.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $9.44 / $13.21	Professional		$8.10	$9.44	$13.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $7.82 / $10.55	Professional		$7.03	$7.82	$10.55
United Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $7.73 / $8.19	Professional		$3.96	$7.73	$8.19