Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $32.45 / $95.24	Facility		$21.21	$32.45	$95.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $19.89 / $22.34	Professional		$19.19	$19.89	$22.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $15.52 / $15.52	Professional		$15.52	$15.52	$15.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $19.12 / $33.34	Facility		$13.60	$19.12	$33.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $35.64 / $44.99	Professional		$17.95	$35.64	$44.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $22.34 / $60.68	Facility		$16.76	$22.34	$60.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $22.34	Professional		$14.52	$14.52	$22.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $27.26 / $38.75	Professional		$22.34	$27.26	$38.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $29.80 / $101.56	Facility		$21.21	$29.80	$101.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $25.69 / $42.13	Professional		$19.32	$25.69	$42.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $15.24 / $24.97	Professional		$10.16	$15.24	$24.97
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $18.29 / $24.69	Professional		$9.38	$18.29	$24.69