Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $37.97 / $95.20	Facility		$20.59	$37.97	$95.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $20.99 / $27.63	Professional		$16.86	$20.99	$27.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $16.72 / $47.53	Professional		$12.04	$16.72	$47.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $26.99 / $47.84	Facility		$18.82	$26.99	$47.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $18.05 / $24.38	Professional		$17.16	$18.05	$24.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $24.08 / $65.37	Facility		$18.05	$24.08	$65.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $15.65 / $24.08	Professional		$15.65	$15.65	$24.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $27.67 / $34.59	Professional		$18.52	$27.67	$34.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.87 / $36.11 / $140.36	Facility		$22.87	$36.11	$140.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $22.88 / $30.10	Professional		$18.05	$22.88	$30.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $19.94 / $30.00	Professional		$17.94	$19.94	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $15.15 / $26.06	Professional		$10.11	$15.15	$26.06