Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $9.35 / $1,182.59	Facility		$6.92	$9.35	$1,182.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.80 / $9.24	Professional		$6.73	$6.80	$9.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $12.81 / $14.00	Professional		$12.81	$12.81	$14.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.66 / $14.39 / $27.79	Facility		$7.66	$14.39	$27.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.64 / $0.84	Professional		$0.59	$0.64	$0.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $7.40 / $10.47	Facility		$6.73	$7.40	$10.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.07 / $15.60	Professional		$6.73	$7.07	$15.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $8.91	Professional		$6.73	$6.73	$8.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $14.02 / $508.56	Facility		$6.92	$14.02	$508.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.93 / $9.08	Professional		$6.73	$6.93	$9.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.40 / $10.35	Professional		$6.73	$7.40	$10.35
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.49 / $8.61	Professional		$6.73	$7.49	$8.61