Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $18.05 / $47.74	Facility		$17.14	$18.05	$47.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $18.05 / $20.92	Professional		$14.80	$18.05	$20.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $11.28 / $18.05	Professional		$11.28	$11.28	$18.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.64 / $20.42 / $35.86	Facility		$14.64	$20.42	$35.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $18.05 / $24.37	Professional		$17.14	$18.05	$24.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $18.05 / $44.12	Facility		$13.54	$18.05	$44.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $18.05	Professional		$11.73	$11.73	$18.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $18.75 / $23.44	Professional		$9.49	$18.75	$23.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $18.05 / $49.19	Facility		$17.12	$18.05	$49.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $17.14 / $24.37	Professional		$17.12	$17.14	$24.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $14.95 / $20.18	Professional		$13.45	$14.95	$20.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $11.55 / $13.80	Professional		$7.58	$11.55	$13.80