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 $10.96 / $20.42 / $20.89	Professional		$10.96	$20.42	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $16.22	Professional		$15.49	$16.22	$16.22
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 $16.60 / $16.60 / $20.42	Professional		$16.60	$16.60	$20.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $60.26 / $67.61	Facility		$22.91	$60.26	$67.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.70 / $32.36	Professional		$22.39	$25.70	$32.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.02 / $29.51	Facility		$6.03	$12.02	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $16.22	Professional		$10.00	$13.49	$16.22