Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $18.38 / $27.57	Facility		$18.38	$18.38	$27.57
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $9.19 / $9.19 / $13.79	Facility	52	$9.19	$9.19	$13.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $18.37 / $52.38	Professional		$13.30	$18.37	$52.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $17.25 / $31.85	Professional		$12.78	$17.25	$31.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $20.92 / $20.92	Facility		$20.92	$20.92	$20.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $21.97 / $26.15	Professional		$19.01	$21.97	$26.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $15.18 / $19.92	Facility		$13.14	$15.18	$19.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $15.77 / $17.32	Professional		$13.14	$15.77	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $21.17 / $58.70	Professional		$15.40	$21.17	$58.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.65 / $18.38 / $43.42	Facility		$14.65	$18.38	$43.42
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $9.19 / $21.71 / $21.71	Facility	52	$9.19	$21.71	$21.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $18.37 / $42.49	Professional		$13.62	$18.37	$42.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $8.94 / $75.00	Professional		$8.94	$8.94	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $17.70 / $25.71	Professional		$13.68	$17.70	$25.71