Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $46.86 / $140.32	Facility		$42.40	$46.86	$140.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $42.60 / $46.98	Professional		$40.95	$42.60	$46.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $32.63 / $32.63	Professional		$32.63	$32.63	$32.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $53.15 / $93.35	Facility		$36.90	$53.15	$93.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $35.24 / $47.57	Professional		$23.96	$35.24	$47.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.24 / $46.98 / $127.57	Facility		$35.24	$46.98	$127.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $30.54 / $46.98	Professional		$30.54	$30.54	$46.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.13 / $54.10 / $67.63	Professional		$36.13	$54.10	$67.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $48.74 / $140.32	Facility		$42.40	$48.74	$140.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $49.32 / $64.81	Professional		$40.95	$49.32	$64.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $38.90 / $52.51	Professional		$35.01	$38.90	$52.51
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $38.46 / $51.91	Professional		$19.73	$38.46	$51.91