Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $48.30 / $104.22	Facility		$33.34	$48.30	$104.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $30.59 / $39.72	Professional		$22.02	$30.59	$39.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $23.88 / $47.37	Professional		$17.55	$23.88	$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 / $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 $17.82 / $28.85 / $53.69	Professional		$17.82	$28.85	$53.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $48.30 / $104.22	Facility		$31.67	$48.30	$104.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.83 / $35.09 / $47.72	Professional		$25.83	$35.09	$47.72
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 Facility Modifier Low / Median / High Price $35.09 / $35.09 / $57.44	Facility		$35.09	$35.09	$57.44
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $26.28 / $45.62	Professional		$14.74	$26.28	$45.62