Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $32.93 / $131.61	Facility		$25.85	$32.93	$131.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $25.86 / $35.24	Professional		$22.32	$25.86	$35.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $18.61 / $18.61	Professional		$18.61	$18.61	$18.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.39 / $30.80 / $54.09	Facility		$21.39	$30.80	$54.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $20.42 / $27.57	Professional		$13.89	$20.42	$27.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $27.22 / $72.75	Facility		$20.42	$27.22	$72.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $27.22	Professional		$17.69	$17.69	$27.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $31.39 / $39.24	Professional		$20.59	$31.39	$39.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $35.65 / $141.52	Facility		$25.85	$35.65	$141.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $32.65 / $36.77	Professional		$24.57	$32.65	$36.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $22.54 / $30.42	Professional		$20.28	$22.54	$30.42
United Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $16.66 / $23.24	Professional		$11.43	$16.66	$23.24