Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $15.69 / $78.23	Facility		$13.08	$15.69	$78.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $13.13 / $23.37	Professional		$11.03	$13.13	$23.37
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $13.07 / $22.43 / $48.00	Professional	25	$13.07	$22.43	$48.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $13.53 / $18.62	Professional		$11.17	$13.53	$18.62
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $12.17 / $14.32 / $18.45	Professional	25	$12.17	$14.32	$18.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $12.72 / $54.18	Facility		$11.06	$12.72	$54.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $13.36 / $16.71	Professional		$12.01	$13.36	$16.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.08 / $13.99 / $16.70	Facility		$11.08	$13.99	$16.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.81 / $17.47 / $27.54	Professional		$13.81	$17.47	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $14.71 / $41.24	Professional		$11.04	$14.71	$41.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $15.69 / $78.23	Facility		$13.08	$15.69	$78.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $15.32 / $23.12	Professional		$12.15	$15.32	$23.12
Health Alliance Plan Facility/Professional Professional Modifier 25 Low / Median / High Price $14.53 / $22.43 / $29.52	Professional	25	$14.53	$22.43	$29.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $9.16 / $75.00	Professional		$7.46	$9.16	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $15.52 / $20.13	Professional		$13.19	$15.52	$20.13