Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $13.31 / $51.00	Facility		$13.31	$13.31	$51.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $11.82 / $16.68	Professional		$10.29	$11.82	$16.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $13.54 / $13.54	Professional		$11.18	$13.54	$13.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $16.93 / $16.93	Facility		$16.93	$16.93	$16.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $16.93 / $21.16	Professional		$15.39	$16.93	$21.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $10.58 / $11.41	Facility		$10.45	$10.58	$11.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $10.35 / $13.23	Professional		$10.35	$10.35	$13.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $13.90 / $25.76	Professional		$11.86	$13.90	$25.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $11.69 / $13.31	Facility		$11.69	$11.69	$13.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $12.53 / $18.12	Professional		$10.78	$12.53	$18.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $13.24 / $19.42	Professional		$11.56	$13.24	$19.42