Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $16.23 / $9,796.79	Facility		$10.85	$16.23	$9,796.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.65 / $13.28	Professional		$10.54	$10.65	$13.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.12 / $22.50	Professional		$12.12	$12.12	$22.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $22.56 / $43.58	Facility		$12.02	$22.56	$43.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $10.43 / $13.54	Professional		$9.52	$10.43	$13.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $12.12 / $18.18	Facility		$10.54	$12.12	$18.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.59 / $24.43	Professional		$10.54	$11.59	$24.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $14.85	Professional		$10.54	$10.54	$14.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $24.36 / $9,796.79	Facility		$10.85	$24.36	$9,796.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.86 / $14.33	Professional		$10.54	$10.86	$14.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $13.06 / $18.28	Professional		$10.54	$13.06	$18.28
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.73 / $13.07	Professional		$10.54	$11.73	$13.07