Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $17.03 / $17.03	Facility		$17.03	$17.03	$17.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $17.03 / $17.03	Professional		$11.66	$17.03	$17.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $22.36 / $22.36	Professional		$22.36	$22.36	$22.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $68.03 / $122.81	Facility		$33.84	$68.03	$122.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $22.36 / $30.19	Professional		$21.24	$22.36	$30.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $14.53 / $14.53	Facility		$14.53	$14.53	$14.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $17.89 / $17.89	Professional		$17.89	$17.89	$17.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $13.44 / $13.44	Facility		$9.66	$13.44	$13.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $13.44 / $18.60	Professional		$9.66	$13.44	$18.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $16.17 / $17.32	Facility		$16.17	$16.17	$17.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $17.03 / $23.47	Professional		$11.66	$17.03	$23.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $11.78 / $16.49	Professional		$9.42	$11.78	$16.49
United Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $8.69 / $12.04	Facility		$7.53	$8.69	$12.04
United Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $10.51 / $15.81	Professional		$7.42	$10.51	$15.81