Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.30 / $67.61	Professional		$15.85	$26.30	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.78 / $24.55	Professional		$15.85	$17.78	$24.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.38 / $22.39	Professional		$19.95	$21.38	$22.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.39 / $24.55	Facility		$17.38	$22.39	$24.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $19.05	Professional		$17.78	$17.78	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $75.86	Professional		$13.49	$18.20	$75.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.39 / $44.67	Professional		$15.14	$22.39	$44.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $74.13	Professional		$13.80	$17.38	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $33.11	Professional		$17.38	$21.88	$33.11