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 $17.38 / $20.42 / $20.89	Professional		$17.38	$20.42	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $11.22 / $11.22	Professional		$10.72	$11.22	$11.22
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 $19.50 / $19.50 / $23.99	Professional		$19.50	$19.50	$23.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $44.67 / $50.12	Facility		$16.98	$44.67	$50.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $28.84	Professional		$16.98	$21.88	$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 / $21.38	Facility		$6.03	$12.02	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.47 / $15.49	Professional		$7.94	$10.47	$15.49