Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $38.50 / $120.18	Facility		$23.89	$38.50	$120.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $24.96 / $33.42	Professional		$19.55	$24.96	$33.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $13.97 / $36.90	Professional		$11.18	$13.97	$36.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $31.33 / $55.52	Facility		$21.85	$31.33	$55.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $20.96 / $28.30	Professional		$19.91	$20.96	$28.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $27.94 / $75.86	Facility		$20.96	$27.94	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $27.94	Professional		$18.16	$18.16	$27.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $31.80 / $95.05	Professional		$21.48	$31.80	$95.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $40.58 / $136.86	Facility		$24.80	$40.58	$136.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $26.54 / $42.60	Professional		$21.79	$26.54	$42.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $23.14 / $31.23	Professional		$20.82	$23.14	$31.23
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $22.87 / $24.24	Professional		$11.73	$22.87	$24.24