Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $35.84	Facility		$18.20	$18.20	$35.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $17.95 / $19.73	Professional		$15.77	$17.95	$19.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $23.90 / $23.90	Professional		$23.90	$23.90	$23.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $96.96 / $175.04	Facility		$48.24	$96.96	$175.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $31.87 / $43.02	Professional		$30.28	$31.87	$43.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $20.72 / $22.03	Facility		$20.48	$20.72	$22.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $22.18 / $31.55	Facility		$22.18	$22.18	$31.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $22.18 / $37.13	Professional		$22.18	$22.18	$37.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $23.02 / $35.84	Facility		$18.20	$23.02	$35.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $23.02 / $32.50	Professional		$17.94	$23.02	$32.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.33 / $23.58 / $27.11	Professional		$19.33	$23.58	$27.11
United Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $14.96 / $23.65	Professional		$12.13	$14.96	$23.65