Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $25.44 / $128.91	Facility		$19.57	$25.44	$128.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $24.10 / $25.44	Professional		$23.34	$24.10	$25.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.04 / $30.30 / $53.22	Facility		$21.04	$30.30	$53.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $20.09 / $27.12	Professional		$13.66	$20.09	$27.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $26.78 / $72.70	Facility		$20.09	$26.78	$72.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $17.41 / $26.78	Professional		$17.41	$17.41	$26.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $30.98 / $38.72	Professional		$17.14	$30.98	$38.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $25.44 / $119.43	Facility		$17.98	$25.44	$119.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $24.10 / $32.13	Professional		$17.98	$24.10	$32.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.17 / $29.92	Professional		$19.95	$22.17	$29.92
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $11.33 / $19.02	Professional		$8.28	$11.33	$19.02