Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $51.29	Facility		$27.54	$27.54	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $34.67	Professional		$19.05	$23.99	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.11 / $57.54	Facility		$21.88	$33.11	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $21.88	Professional		$20.89	$21.88	$21.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $43.65 / $72.44	Facility		$29.51	$43.65	$72.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $39.81	Professional		$30.90	$38.02	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.92 / $63.10	Professional		$13.18	$26.92	$63.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $51.29	Facility		$27.54	$27.54	$51.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $39.81	Professional		$22.91	$28.84	$39.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.85 / $40.74	Professional		$13.18	$15.85	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $29.51 / $34.67	Facility		$26.30	$29.51	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $28.18	Professional		$12.30	$17.38	$28.18