Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $17.48 / $147.60	Facility		$10.76	$17.48	$147.60
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	25	$11.16	$11.16	$11.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $10.11 / $41.25	Professional		$7.56	$10.11	$41.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $9.98 / $11.97	Professional		$7.65	$9.98	$11.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $8.65 / $9.42	Facility		$8.65	$8.65	$9.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $9.89 / $12.72	Professional		$8.22	$9.89	$12.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $8.77 / $11.40	Facility		$7.45	$8.77	$11.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $8.94 / $9.94	Professional		$7.45	$8.94	$9.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.27 / $32.93	Professional		$8.42	$12.27	$32.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $16.16 / $147.60	Facility		$8.43	$16.16	$147.60
Health Alliance Plan Facility/Professional Facility Modifier 25 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	25	$11.16	$11.16	$11.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $10.31 / $32.50	Professional		$7.71	$10.31	$32.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $5.11 / $100.00	Professional		$5.11	$5.11	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $9.67 / $13.93	Professional		$8.18	$9.67	$13.93