Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $13.23 / $15.17	Facility		$13.23	$13.23	$15.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $13.91 / $22.18	Professional		$11.31	$13.91	$22.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $12.73 / $21.23	Professional		$12.72	$12.73	$21.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $22.41 / $22.41	Facility		$18.89	$22.41	$22.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $22.41 / $28.01	Professional		$18.34	$22.41	$28.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $15.11 / $18.03	Facility		$12.00	$15.11	$18.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $18.28 / $28.78	Professional		$14.46	$18.28	$28.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $17.93 / $59.90	Professional		$13.00	$17.93	$59.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $15.27 / $15.94	Facility		$13.23	$15.27	$15.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $15.27 / $22.39	Professional		$12.72	$15.27	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $9.59 / $100.00	Professional		$8.09	$9.59	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $17.07 / $22.39	Professional		$14.39	$17.07	$22.39