Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $73.76 / $112.76	Professional		$42.40	$73.76	$112.76
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $47.87 / $99.75 / $180.18	Professional	25	$47.87	$99.75	$180.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $80.70 / $129.32	Professional		$72.61	$80.70	$129.32
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $80.63 / $85.42 / $85.42	Professional	25	$80.63	$85.42	$85.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.01 / $56.45 / $72.58	Professional		$43.01	$56.45	$72.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.04 / $58.14 / $60.29	Facility		$46.04	$58.14	$60.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $84.66 / $104.73	Professional		$80.56	$84.66	$104.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $64.31 / $100.86	Professional		$40.29	$64.31	$100.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $78.79 / $108.55	Professional		$42.75	$78.79	$108.55
Health Alliance Plan Facility/Professional Professional Modifier 25 Low / Median / High Price $47.87 / $85.53 / $180.18	Professional	25	$47.87	$85.53	$180.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $102.24 / $141.24	Professional		$81.79	$102.24	$141.24
United Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $89.86 / $115.23	Professional		$68.39	$89.86	$115.23