Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.15 / $41.91 / $111.35	Facility		$31.15	$41.91	$111.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $35.09 / $76.95	Professional		$22.81	$35.09	$76.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $30.00	Professional		$17.55	$17.55	$30.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $53.39 / $92.95	Facility		$37.95	$53.39	$92.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $35.09 / $37.54	Professional		$33.34	$35.09	$37.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $52.12 / $95.28	Facility		$35.09	$52.12	$95.28
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 $22.30 / $38.99 / $78.95	Professional		$22.30	$38.99	$78.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $49.57 / $167.16	Facility		$31.67	$49.57	$167.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $42.10 / $76.95	Professional		$31.27	$42.10	$76.95
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 $21.05 / $47.87 / $52.86	Professional		$21.05	$47.87	$52.86