Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $44.67	Professional		$19.05	$19.05	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $17.38 / $20.89	Professional		$8.91	$17.38	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.96 / $10.96	Professional		$10.47	$10.96	$10.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $58.88	Facility		$23.44	$23.44	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $23.99	Professional		$19.50	$19.50	$23.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $24.55 / $27.54	Facility		$9.33	$24.55	$27.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.30 / $28.84	Professional		$9.33	$12.30	$28.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.02 / $25.12	Facility		$6.03	$12.02	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.30 / $15.49	Professional		$9.33	$12.30	$15.49