Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $11.57 / $11.57	Facility		$11.57	$11.57	$11.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $13.94 / $26.53	Professional		$9.98	$13.94	$26.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $11.40 / $19.76	Professional		$8.90	$11.40	$19.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $45.84 / $87.12	Facility		$22.06	$45.84	$87.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $15.81 / $19.76	Professional		$14.44	$15.81	$19.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $20.52 / $25.08	Facility		$15.20	$20.52	$25.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $19.76 / $35.25	Professional		$15.96	$19.76	$35.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $28.76	Professional		$6.20	$6.20	$28.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.35 / $10.35 / $11.57	Facility		$10.35	$10.35	$11.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $12.15 / $25.57	Professional		$10.35	$12.15	$25.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $10.25 / $16.05	Professional		$8.92	$10.25	$16.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $7.13 / $11.25	Professional		$5.78	$7.13	$11.25