Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $37.31 / $102.98	Facility		$31.67	$37.31	$102.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $32.81 / $45.62	Professional		$20.46	$32.81	$45.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $47.37	Professional		$17.55	$17.55	$47.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $40.04 / $69.72	Facility		$28.47	$40.04	$69.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $26.32 / $28.16	Professional		$25.00	$26.32	$28.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $52.12 / $84.22	Facility		$35.09	$52.12	$84.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $43.86 / $47.37	Professional		$35.09	$43.86	$47.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $42.95 / $87.73	Professional		$17.76	$42.95	$87.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.58 / $33.69 / $91.06	Facility		$31.58	$33.69	$91.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $33.69 / $42.11	Professional		$29.82	$33.69	$42.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $31.95 / $52.29	Professional		$29.05	$31.95	$52.29
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $35.09	Professional		$14.74	$21.05	$35.09