Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $33.90 / $204.00	Facility		$24.21	$33.90	$204.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $26.43 / $52.53	Professional		$19.37	$26.43	$52.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $24.44 / $31.56	Professional		$18.55	$24.44	$31.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $37.65 / $54.12	Facility		$22.53	$37.65	$54.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $37.79 / $56.47	Professional		$29.45	$37.79	$56.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $24.05 / $33.67	Facility		$17.79	$24.05	$33.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $32.76 / $63.67	Professional		$27.30	$32.76	$63.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $35.00 / $65.00	Professional		$19.00	$35.00	$65.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $37.70 / $211.00	Facility		$25.42	$37.70	$211.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $26.91 / $49.90	Professional		$20.18	$26.91	$49.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $33.67 / $49.49	Professional		$27.57	$33.67	$49.49
United Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $35.19 / $42.27	Professional		$26.82	$35.19	$42.27