Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.64 / $39.60 / $62.52	Facility		$35.64	$39.60	$62.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $39.60 / $40.59	Professional		$31.59	$39.60	$40.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $20.84 / $20.84	Professional		$20.84	$20.84	$20.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $47.56 / $82.80	Facility		$33.81	$47.56	$82.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $31.26 / $33.45	Professional		$29.70	$31.26	$33.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $61.90 / $101.86	Facility		$41.68	$61.90	$101.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $52.10 / $56.27	Professional		$41.68	$52.10	$56.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $41.68 / $93.78	Professional		$21.07	$41.68	$93.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.14 / $39.60 / $72.77	Facility		$37.14	$39.60	$72.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $46.73 / $57.23	Professional		$35.84	$46.73	$57.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $37.96 / $62.11	Professional		$34.51	$37.96	$62.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $28.14 / $49.04	Professional		$17.51	$28.14	$49.04