Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.49 / $14.55 / $149.88	Facility		$11.49	$14.55	$149.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $12.96 / $17.28	Professional		$9.00	$12.96	$17.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $10.37 / $14.45	Professional		$8.40	$10.37	$14.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $14.92 / $20.54	Facility		$11.26	$14.92	$20.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $16.23 / $20.54	Professional		$14.29	$16.23	$20.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $12.19 / $17.07	Facility		$9.02	$12.19	$17.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $15.88 / $32.20	Professional		$13.81	$15.88	$32.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $11.00 / $19.00	Professional		$2.80	$11.00	$19.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $12.84 / $149.88	Facility		$4.83	$12.84	$149.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $13.39 / $17.92	Professional		$5.31	$13.39	$17.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $9.36 / $9.36	Professional		$7.96	$9.36	$9.36
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $13.80 / $18.57	Professional		$5.00	$13.80	$18.57