Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.04 / $58.13	Professional		$34.67	$44.04	$58.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.83 / $136.83 / $136.83	Professional		$136.83	$136.83	$136.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $42.16 / $71.45	Professional		$10.92	$42.16	$71.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $51.28 / $75.05	Professional		$39.95	$51.28	$75.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $48.26 / $110.64	Professional		$34.00	$48.26	$110.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $42.05 / $60.02	Professional		$33.31	$42.05	$60.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $33.62 / $48.52	Professional		$27.05	$33.62	$48.52
United Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $44.31 / $63.92	Professional		$33.94	$44.31	$63.92