Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $13.06 / $13.06	Facility		$13.06	$13.06	$13.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $10.88 / $13.06	Professional		$5.25	$10.88	$13.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $11.14 / $11.14	Professional		$11.14	$11.14	$11.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $52.15 / $94.14	Facility		$25.94	$52.15	$94.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $17.14 / $23.14	Professional		$16.28	$17.14	$23.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $11.14 / $11.14	Facility		$11.14	$11.14	$11.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $13.71 / $13.71	Professional		$13.71	$13.71	$13.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $10.29 / $12.72	Facility		$5.40	$10.29	$12.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $10.83 / $14.25	Professional		$5.40	$10.83	$14.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $12.38 / $13.06	Facility		$12.38	$12.38	$13.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $12.86 / $17.48	Professional		$5.53	$12.86	$17.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $10.83 / $14.57	Professional		$8.66	$10.83	$14.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $7.90 / $12.26	Professional		$5.69	$7.90	$12.26