Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $12.30	Facility		$9.33	$9.33	$12.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.75 / $34.67	Professional		$7.94	$11.75	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $17.78	Professional		$9.55	$12.02	$17.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.50 / $25.12	Facility		$13.49	$19.50	$25.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.30 / $12.30	Professional		$11.75	$12.30	$12.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $18.20 / $26.92	Facility		$14.45	$18.20	$26.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $13.80	Professional		$12.02	$12.02	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $64.57	Facility		$53.70	$53.70	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $26.92	Professional		$10.47	$13.18	$26.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $12.30 / $40.74	Facility		$9.33	$12.30	$40.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.45 / $22.91	Professional		$8.32	$14.45	$22.91
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.49 / $25.12	Professional		$10.47	$13.49	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.88 / $14.79	Facility		$12.02	$12.88	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $16.98	Professional		$12.02	$14.13	$16.98