Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $82.62 / $180.40	Facility		$37.29	$82.62	$180.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $30.78 / $40.60	Professional		$30.25	$30.78	$40.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $19.63 / $87.70	Professional		$15.70	$19.63	$87.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $44.42 / $78.01	Facility		$30.85	$44.42	$78.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $29.45 / $39.76	Professional		$20.03	$29.45	$39.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $39.26 / $95.95	Facility		$29.45	$39.26	$95.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $25.52 / $39.26	Professional		$25.52	$25.52	$39.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $45.02 / $56.27	Professional		$26.10	$45.02	$56.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $89.15 / $233.93	Facility		$37.29	$89.15	$233.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $39.26 / $64.03	Professional		$30.25	$39.26	$64.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $32.50 / $43.87	Professional		$29.25	$32.50	$43.87
United Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $35.33 / $47.11	Facility		$16.48	$35.33	$47.11
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $25.13 / $43.38	Professional		$16.48	$25.13	$43.38