Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $13.66 / $136.84	Facility		$10.00	$13.66	$136.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $12.94 / $13.66	Professional		$12.53	$12.94	$13.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $16.27 / $28.58	Facility		$11.30	$16.27	$28.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $10.79 / $14.57	Professional		$7.34	$10.79	$14.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $14.38 / $39.04	Facility		$10.79	$14.38	$39.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $14.38	Professional		$9.35	$9.35	$14.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $16.52 / $20.65	Professional		$11.06	$16.52	$20.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $14.38 / $158.40	Facility		$12.29	$14.38	$158.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $13.66 / $19.14	Professional		$12.53	$13.66	$19.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $11.90 / $16.06	Professional		$10.71	$11.90	$16.06
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $8.82 / $12.48	Professional		$6.04	$8.82	$12.48