Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $17.55 / $42.15	Facility		$13.51	$17.55	$42.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.61 / $15.88	Professional		$13.49	$13.61	$15.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $15.74 / $15.74	Professional		$15.74	$15.74	$15.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.67 / $29.41 / $56.05	Facility		$15.67	$29.41	$56.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $14.02 / $18.20	Professional		$12.81	$14.02	$18.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $14.43 / $20.23	Facility		$13.12	$14.43	$20.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.16 / $31.27	Professional		$13.49	$14.16	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $17.57	Professional		$13.49	$13.49	$17.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.34 / $37.59	Facility		$13.49	$26.34	$37.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.51 / $17.53	Professional		$13.49	$13.51	$17.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $14.83 / $20.23	Professional		$13.12	$14.83	$20.23
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.02 / $16.73	Professional		$13.49	$15.02	$16.73