Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.02 / $43.25 / $225.15	Facility		$33.02	$43.25	$225.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.58 / $36.69	Professional		$32.36	$33.58	$36.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $26.82 / $26.82	Professional		$26.82	$26.82	$26.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.34 / $43.69 / $76.73	Facility		$30.34	$43.69	$76.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $28.97 / $39.11	Professional		$19.70	$28.97	$39.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $38.61 / $104.87	Facility		$28.97	$38.61	$104.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $25.10 / $38.61	Professional		$25.10	$25.10	$38.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $44.19 / $58.85	Professional		$29.70	$44.19	$58.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.02 / $48.51 / $179.14	Facility		$33.02	$48.51	$179.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $38.61 / $54.06	Professional		$32.83	$38.61	$54.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $31.98 / $43.17	Professional		$28.78	$31.98	$43.17
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $31.79 / $42.68	Professional		$16.22	$31.79	$42.68