Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.76 / $18.76 / $28.14	Facility		$18.76	$18.76	$28.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $23.20 / $87.51	Professional		$13.73	$23.20	$87.51
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.07 / $20.07 / $80.00	Professional	25	$20.07	$20.07	$80.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $14.28 / $20.00	Professional		$13.28	$14.28	$20.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $28.33 / $54.74	Facility		$15.26	$28.33	$54.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $16.89 / $21.11	Professional		$14.71	$16.89	$21.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $15.71 / $19.86	Facility		$12.97	$15.71	$19.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $15.56 / $17.32	Professional		$12.97	$15.56	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $26.58 / $61.56	Professional		$17.37	$26.58	$61.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.76 / $18.82 / $44.32	Facility		$18.76	$18.82	$44.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $20.97 / $63.32	Professional		$13.93	$20.97	$63.32
Health Alliance Plan Facility/Professional Professional Modifier 25 Low / Median / High Price $25.40 / $25.40 / $82.38	Professional	25	$25.40	$25.40	$82.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $75.00	Professional		$9.16	$9.16	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $20.48 / $29.85	Professional		$16.38	$20.48	$29.85