Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.49 / $48.32 / $173.38	Facility		$43.49	$48.32	$173.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $45.76 / $48.32	Professional		$44.31	$45.76	$48.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.32 / $35.32 / $131.36	Professional		$35.32	$35.32	$131.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $57.54 / $101.06	Facility		$39.96	$57.54	$101.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $38.15 / $51.50	Professional		$25.94	$38.15	$51.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $50.86 / $138.11	Facility		$38.15	$50.86	$138.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $33.06 / $50.86	Professional		$33.06	$33.06	$50.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $58.23 / $72.79	Professional		$32.19	$58.23	$72.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $40.10 / $48.32 / $153.87	Facility		$40.10	$48.32	$153.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $50.86 / $69.20	Professional		$44.31	$50.86	$69.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $42.11 / $56.84	Professional		$37.89	$42.11	$56.84
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $41.86 / $44.13	Professional		$21.36	$41.86	$44.13