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 $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 $24.55 / $24.55 / $30.90	Professional		$24.55	$24.55	$30.90
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 $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.02 / $31.62	Facility		$6.03	$12.02	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $17.78	Professional		$10.00	$13.80	$17.78