Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $96.88 / $291.95	Facility		$12.97	$96.88	$291.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $12.36 / $58.36	Professional		$10.75	$12.36	$58.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $11.96 / $11.96	Professional		$10.78	$11.96	$11.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $55.91 / $109.24	Facility		$26.64	$55.91	$109.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $19.69 / $26.58	Professional		$12.57	$19.69	$26.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $12.83 / $15.68	Facility		$9.09	$12.83	$15.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $13.59 / $21.30	Professional		$10.34	$13.59	$21.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $12.64 / $44.34	Professional		$9.86	$12.64	$44.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $99.00 / $431.16	Facility		$12.36	$99.00	$431.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $12.36 / $58.36	Professional		$10.56	$12.36	$58.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $7.67 / $11.96	Professional		$7.67	$7.67	$11.96
United Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $11.94 / $18.05	Professional		$9.98	$11.94	$18.05