Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $58.24 / $129.35	Facility		$33.34	$58.24	$129.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $61.18 / $147.38	Professional		$31.23	$61.18	$147.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Professional		$17.55	$17.55	$17.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $39.21 / $69.72	Facility		$28.47	$39.21	$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 / $38.99 / $78.95	Professional		$17.82	$38.99	$78.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $51.05 / $152.00	Facility		$33.34	$51.05	$152.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $46.73 / $105.27	Professional		$33.34	$46.73	$105.27
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 / $35.09	Facility		$35.09	$35.09	$35.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $28.72 / $47.87	Professional		$14.74	$28.72	$47.87