Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $42.28 / $132.13	Facility		$30.19	$42.28	$132.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $35.43 / $38.71	Professional		$33.42	$35.43	$38.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $28.30	Professional		$16.30	$16.30	$28.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $46.09 / $80.95	Facility		$32.01	$46.09	$80.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $30.56 / $41.26	Professional		$20.78	$30.56	$41.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.56 / $40.75 / $110.66	Facility		$30.56	$40.75	$110.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $26.49 / $40.75	Professional		$26.49	$26.49	$40.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $46.67 / $58.34	Professional		$31.33	$46.67	$58.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $32.13 / $44.22 / $131.66	Facility		$32.13	$44.22	$131.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $43.47 / $62.12	Professional		$34.57	$43.47	$62.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $33.75 / $45.56	Professional		$30.37	$33.75	$45.56
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $32.67 / $56.94	Professional		$17.12	$32.67	$56.94