Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.33 / $50.33 / $50.33	Facility		$50.33	$50.33	$50.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $57.13 / $438.33	Professional		$38.42	$57.13	$438.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $59.25 / $77.03	Professional		$29.63	$59.25	$77.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.16 / $94.12 / $121.01	Professional		$85.16	$94.12	$121.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $84.20 / $140.11	Facility		$56.69	$84.20	$140.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $65.18 / $137.37	Professional		$56.69	$65.18	$137.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $80.02 / $256.74	Professional		$27.40	$80.02	$256.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.33 / $50.33 / $50.33	Facility		$50.33	$50.33	$50.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $82.99 / $146.10	Professional		$57.13	$82.99	$146.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $65.66 / $80.30	Professional		$54.60	$65.66	$80.30
United Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $75.15 / $101.11	Professional		$39.61	$75.15	$101.11