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 $5.89 / $17.38 / $20.89	Professional		$5.89	$17.38	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.80 / $13.80	Professional		$13.18	$13.80	$13.80
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 $27.54 / $27.54 / $33.88	Professional		$27.54	$27.54	$33.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $57.54 / $64.57	Facility		$21.88	$57.54	$64.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $30.90	Professional		$21.88	$24.55	$30.90
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.02 / $32.36	Facility		$6.03	$12.02	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $17.38	Professional		$10.00	$13.80	$17.38