Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $19.85 / $44.65	Professional		$13.34	$19.85	$44.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $25.00 / $25.57	Professional		$21.32	$25.00	$25.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $22.03 / $29.74	Professional		$20.50	$22.03	$29.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $24.84 / $24.84	Facility		$24.84	$24.84	$24.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $25.47 / $25.57	Professional		$25.47	$25.47	$25.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $60.82 / $101.84	Professional		$29.05	$60.82	$101.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $25.12 / $40.85	Professional		$16.62	$25.12	$40.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $17.47 / $75.00	Professional		$17.47	$17.47	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $27.78 / $31.31	Professional		$23.07	$27.78	$31.31