Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.90 / $89.13	Facility		$19.95	$30.90	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $44.67	Professional		$15.85	$19.95	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $27.54	Professional		$8.91	$13.49	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.12 / $44.67	Facility		$16.60	$25.12	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.60 / $16.60	Professional		$15.85	$16.60	$16.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $61.66	Facility		$23.44	$23.44	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.70 / $32.36	Professional		$15.49	$25.70	$32.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $32.36 / $100.00	Facility		$19.95	$32.36	$100.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $44.67	Professional		$18.20	$23.44	$44.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $27.54	Professional		$14.13	$17.78	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $22.39 / $22.39	Facility		$11.22	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $18.20 / $19.50	Professional		$9.33	$18.20	$19.50