Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $66.07 / $66.07	Facility		$26.92	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.90 / $91.20	Professional		$19.50	$30.90	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $30.20	Professional		$18.20	$21.38	$30.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.90 / $33.11	Professional		$29.51	$30.90	$33.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.12 / $63.10	Facility		$15.85	$25.12	$63.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.88 / $46.77	Professional		$19.95	$21.88	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $72.44	Professional		$20.89	$28.84	$72.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $63.10 / $66.07	Facility		$22.91	$63.10	$66.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $67.61	Professional		$20.42	$28.18	$67.61
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $72.44	Professional		$20.89	$30.20	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $36.31	Professional		$21.38	$26.92	$36.31