Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $14.38 / $992.63	Facility		$14.38	$14.38	$992.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $14.38 / $14.38	Professional		$12.06	$14.38	$14.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $25.18 / $25.18	Professional		$18.89	$25.18	$25.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $75.93 / $138.30	Facility		$38.11	$75.93	$138.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $25.18 / $33.99	Professional		$23.92	$25.18	$33.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.98 / $16.37 / $19.55	Facility		$15.98	$16.37	$19.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $20.14	Professional		$20.14	$20.14	$20.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Facility		$16.29	$16.29	$16.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $20.94 / $36.56	Professional		$11.89	$20.94	$36.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $214.81 / $992.63	Facility		$18.19	$214.81	$992.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $18.19 / $28.95	Professional		$14.06	$18.19	$28.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $18.63 / $21.42	Professional		$15.27	$18.63	$21.42
United Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $31.12 / $31.12	Facility		$26.45	$31.12	$31.12
United Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $12.04 / $18.02	Professional		$9.71	$12.04	$18.02