Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $27.99 / $85.08	Facility		$22.39	$27.99	$85.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.93 / $22.39	Professional		$17.23	$17.93	$22.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $26.66 / $46.83	Facility		$18.52	$26.66	$46.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.68 / $23.87	Professional		$12.02	$17.68	$23.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $23.57 / $57.61	Facility		$17.68	$23.57	$57.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $23.57	Professional		$15.32	$15.32	$23.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $27.26 / $34.07	Professional		$15.21	$27.26	$34.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $28.00 / $85.08	Facility		$22.39	$28.00	$85.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $26.34 / $30.15	Professional		$17.63	$26.34	$30.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $19.51 / $26.33	Professional		$17.55	$19.51	$26.33
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $16.19 / $27.65	Professional		$9.90	$16.19	$27.65