Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $18.29 / $92.65	Facility		$8.73	$18.29	$92.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $20.25 / $24.23	Professional		$19.28	$20.25	$24.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $12.16 / $20.26	Professional		$12.16	$12.16	$20.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $15.81 / $20.52	Professional		$14.44	$15.81	$20.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $30.09 / $48.62	Facility		$20.26	$30.09	$48.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $22.29 / $27.35	Professional		$20.26	$22.29	$27.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $24.78 / $45.59	Professional		$10.29	$24.78	$45.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $18.29 / $36.58	Facility		$8.73	$18.29	$36.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $23.00 / $31.60	Professional		$19.25	$23.00	$31.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $18.44 / $30.18	Professional		$16.77	$18.44	$30.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $26.34 / $35.11	Professional		$12.16	$26.34	$35.11