Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $18.51 / $18.51	Facility		$16.10	$18.51	$18.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $19.43 / $47.31	Professional		$17.01	$19.43	$47.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $18.23 / $33.95	Professional		$15.31	$18.23	$33.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.27 / $73.31 / $139.34	Facility		$35.27	$73.31	$139.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $25.28 / $31.60	Professional		$23.09	$25.28	$31.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $32.82 / $40.11	Facility		$24.31	$32.82	$40.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $31.60 / $56.36	Professional		$25.53	$31.60	$56.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $9.92 / $46.01	Professional		$9.92	$9.92	$46.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $16.57 / $18.51	Facility		$16.10	$16.57	$18.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $18.84 / $41.32	Professional		$16.57	$18.84	$41.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $16.42 / $25.70	Professional		$14.28	$16.42	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $11.63 / $18.96	Professional		$8.60	$11.63	$18.96