Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $66.07 / $263.03	Facility		$38.02	$66.07	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $45.71 / $707.95	Professional		$17.78	$45.71	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $10.96 / $21.88	Professional		$1.00	$10.96	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.21 / $0.44	Facility		$0.10	$0.21	$0.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Professional		$0.15	$0.15	$0.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.12 / $0.15	Facility		$0.10	$0.12	$0.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.25	Professional		$0.10	$0.10	$0.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.12	Professional		$0.11	$0.11	$0.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $66.07 / $275.42	Facility		$0.28	$66.07	$275.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.14 / $52.48	Professional		$0.11	$0.14	$52.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.12	Professional		$0.11	$0.11	$0.12
United Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.12 / $1.58	Facility		$0.11	$0.12	$1.58
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.13	Professional		$0.11	$0.12	$0.13