Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $9.19 / $18.11	Facility		$9.11	$9.19	$18.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $14.62 / $21.60	Professional		$7.76	$14.62	$21.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.53 / $12.53 / $12.53	Professional	25	$12.53	$12.53	$12.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $14.65 / $16.18	Professional		$13.79	$14.65	$16.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $13.45 / $148.68	Facility		$13.45	$13.45	$148.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $14.12 / $18.16	Professional		$12.78	$14.12	$18.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.88 / $12.77	Facility		$8.51	$10.88	$12.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $21.03 / $26.65	Professional		$16.93	$21.03	$26.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $15.77 / $24.84	Professional		$11.68	$15.77	$24.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $16.94 / $22.59	Facility		$9.11	$16.94	$22.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $16.94 / $24.82	Professional		$9.02	$16.94	$24.82
Health Alliance Plan Facility/Professional Professional Modifier 25 Low / Median / High Price $12.53 / $12.53 / $12.53	Professional	25	$12.53	$12.53	$12.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $20.25 / $28.68	Professional		$17.18	$20.25	$28.68