Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $44.62 / $120.00	Facility		$24.17	$44.62	$120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $66.54 / $88.72	Professional		$24.18	$66.54	$88.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $34.90 / $34.90	Professional		$34.90	$34.90	$34.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $28.79 / $50.57	Facility		$19.98	$28.79	$50.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $19.09 / $25.77	Professional		$12.98	$19.09	$25.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $25.45 / $69.12	Facility		$19.09	$25.45	$69.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $25.45	Professional		$16.54	$16.54	$25.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $29.32 / $36.65	Professional		$16.17	$29.32	$36.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $38.18 / $138.94	Facility		$17.98	$38.18	$138.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $27.15 / $69.23	Professional		$17.98	$27.15	$69.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $21.08 / $28.45	Professional		$18.97	$21.08	$28.45
United Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $25.45 / $25.45	Facility		$12.73	$25.45	$25.45
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $11.33 / $16.29	Professional		$8.28	$11.33	$16.29