Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $109.51	Facility		$6.31	$6.31	$109.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $6.31 / $6.81	Professional		$5.40	$6.31	$6.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.28 / $8.28	Professional		$8.28	$8.28	$8.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $33.32 / $60.69	Facility		$16.73	$33.32	$60.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $11.05 / $14.92	Professional		$10.50	$11.05	$14.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.18 / $7.18 / $7.18	Facility		$7.18	$7.18	$7.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $8.84 / $8.84	Professional		$8.84	$8.84	$8.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $7.14 / $7.14	Facility		$7.14	$7.14	$7.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $9.19 / $15.94	Professional		$5.21	$9.19	$15.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.98 / $109.51	Facility		$6.31	$7.98	$109.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $7.98 / $11.60	Professional		$6.24	$7.98	$11.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $8.18 / $9.40	Professional		$6.70	$8.18	$9.40
United Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $7.28 / $8.30	Facility		$7.28	$7.28	$8.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.51 / $8.49	Professional		$4.59	$5.51	$8.49