Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $24.01 / $110.26	Facility		$14.95	$24.01	$110.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $22.47 / $22.91	Professional		$21.73	$22.47	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Professional		$17.55	$17.55	$17.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $28.58 / $50.20	Facility		$19.85	$28.58	$50.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $18.95 / $25.58	Professional		$12.89	$18.95	$25.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $25.27 / $68.62	Facility		$18.95	$25.27	$68.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $16.43 / $25.27	Professional		$16.43	$16.43	$25.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $28.91 / $36.14	Professional		$19.43	$28.91	$36.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $24.01 / $110.26	Facility		$18.57	$24.01	$110.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $24.01 / $33.64	Professional		$21.73	$24.01	$33.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $20.92 / $28.24	Professional		$18.82	$20.92	$28.24
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $16.17 / $21.72	Professional		$10.61	$16.17	$21.72