Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.75 / $27.75 / $41.63	Facility		$27.75	$27.75	$41.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $26.89 / $64.52	Professional		$19.89	$26.89	$64.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $26.34 / $47.27	Professional		$18.89	$26.34	$47.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.87 / $30.87 / $30.87	Facility		$30.87	$30.87	$30.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $32.40 / $38.59	Professional		$28.07	$32.40	$38.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $22.29 / $29.40	Facility		$19.48	$22.29	$29.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $23.38 / $25.55	Professional		$19.48	$23.38	$25.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $32.11 / $87.33	Professional		$23.32	$32.11	$87.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $27.75 / $65.56	Facility		$21.52	$27.75	$65.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $27.75 / $58.44	Professional		$20.26	$27.75	$58.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $13.21 / $75.00	Professional		$13.21	$13.21	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $20.62	Facility		$20.62	$20.62	$20.62
United Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $26.57 / $39.75	Professional		$21.60	$26.57	$39.75