Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $36.58 / $86.03	Facility		$21.40	$36.58	$86.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $33.47 / $36.58	Professional		$31.57	$33.47	$36.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $26.74 / $26.74	Professional		$26.74	$26.74	$26.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.25 / $43.56 / $76.50	Facility		$30.25	$43.56	$76.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $28.88 / $38.99	Professional		$19.64	$28.88	$38.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $38.50 / $104.55	Facility		$28.88	$38.50	$104.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $25.03 / $38.50	Professional		$25.03	$25.03	$38.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $44.19 / $55.24	Professional		$29.60	$44.19	$55.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $36.58 / $131.10	Facility		$18.00	$36.58	$131.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $36.58 / $51.26	Professional		$31.55	$36.58	$51.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $31.88 / $43.03	Professional		$28.69	$31.88	$43.03
United Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $23.60 / $33.40	Professional		$16.17	$23.60	$33.40