Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $81.22 / $158.87	Facility		$28.12	$81.22	$158.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $25.81 / $37.00	Professional		$20.72	$25.81	$37.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $14.80 / $60.00	Professional		$11.84	$14.80	$60.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $33.47 / $58.81	Facility		$23.25	$33.47	$58.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $22.20 / $29.97	Professional		$15.10	$22.20	$29.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $29.60 / $80.38	Facility		$22.20	$29.60	$80.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $19.23 / $29.60	Professional		$19.23	$19.23	$29.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $34.28 / $42.85	Professional		$22.76	$34.28	$42.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $74.70 / $224.40	Facility		$28.12	$74.70	$224.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $28.12 / $59.20	Professional		$22.20	$28.12	$59.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $24.51 / $33.08	Professional		$22.05	$24.51	$33.08
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $18.94 / $25.69	Professional		$12.43	$18.94	$25.69