Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $58.27 / $62.48	Facility		$47.64	$58.27	$62.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $24.30 / $33.52	Professional		$18.73	$24.30	$33.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $24.29 / $24.29	Professional		$22.06	$24.29	$24.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $27.63 / $32.89	Professional		$22.90	$27.63	$32.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $26.33 / $27.26	Facility		$20.71	$26.33	$27.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $23.94 / $29.95	Professional		$22.80	$23.94	$29.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $21.95 / $33.79	Professional		$17.70	$21.95	$33.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $58.27 / $62.48	Facility		$47.64	$58.27	$62.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $26.03 / $31.24	Professional		$21.45	$26.03	$31.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.27 / $15.76	Professional		$14.27	$14.27	$15.76
United Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $27.83 / $34.50	Professional		$22.69	$27.83	$34.50