Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $23.44 / $43.65	Facility		$19.05	$23.44	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $25.12	Professional		$18.62	$21.88	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $28.18 / $50.12	Facility		$18.62	$28.18	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $18.62 / $18.62	Professional		$17.78	$18.62	$18.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $69.18	Facility		$26.30	$26.30	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $35.48	Professional		$17.38	$28.18	$35.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $23.44 / $60.26	Facility		$21.38	$23.44	$60.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $38.02	Professional		$19.05	$24.55	$38.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $30.90	Professional		$15.85	$19.95	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.12 / $30.20	Facility		$15.14	$25.12	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.49 / $16.60	Professional		$10.47	$15.49	$16.60