Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $68.62	Facility		$43.99	$43.99	$68.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $33.72 / $46.31	Professional		$29.58	$33.72	$46.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $18.52	Professional		$18.52	$18.52	$18.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $32.47 / $32.47	Facility		$32.47	$32.47	$32.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $32.47 / $43.83	Professional		$22.08	$32.47	$43.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $46.31 / $113.18	Facility		$34.72	$46.31	$113.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $30.10 / $46.31	Professional		$30.10	$30.10	$46.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $53.28 / $66.59	Professional		$26.10	$53.28	$66.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.79 / $43.99 / $80.83	Facility		$41.79	$43.99	$80.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $45.20 / $59.47	Professional		$33.72	$45.20	$59.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $38.35 / $51.77	Professional		$30.00	$38.35	$51.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $27.79 / $29.64	Professional		$19.45	$27.79	$29.64