Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $23.91 / $43.38	Facility		$17.88	$23.91	$43.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $23.91 / $42.85	Professional		$14.69	$23.91	$42.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $9.27 / $24.10	Professional		$8.68	$9.27	$24.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $42.54 / $74.06	Facility		$30.42	$42.54	$74.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $27.96 / $37.28	Professional		$26.50	$27.96	$37.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $26.21 / $43.63	Facility		$17.64	$26.21	$43.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $26.69 / $49.79	Professional		$21.77	$26.69	$49.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $12.34 / $32.93	Professional		$9.36	$12.34	$32.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $32.79 / $43.38	Facility		$17.88	$32.79	$43.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $28.22 / $39.10	Professional		$19.48	$28.22	$39.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $14.91 / $75.00	Professional		$11.93	$14.91	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $28.33 / $60.52	Professional		$14.51	$28.33	$60.52