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 / $5.89 / $5.89	Professional		$5.89	$5.89	$5.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $12.88	Professional		$12.02	$12.88	$12.88
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 $22.39 / $22.39 / $28.18	Professional		$22.39	$22.39	$28.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $52.48 / $58.88	Facility		$19.95	$52.48	$58.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.39 / $30.20	Professional		$19.95	$22.39	$30.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.02 / $24.55	Facility		$6.03	$12.02	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $15.49	Professional		$8.91	$12.02	$15.49