Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $44.74 / $102.00	Professional		$35.44	$44.74	$102.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $30.76 / $30.76	Professional		$30.76	$30.76	$30.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $60.13 / $71.59	Professional		$52.06	$60.13	$71.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $40.81 / $44.28	Professional		$34.01	$40.81	$44.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $139.81 / $201.68	Professional		$63.74	$139.81	$201.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $49.68 / $104.04	Professional		$38.58	$49.68	$104.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $33.44 / $47.72	Professional		$26.94	$33.44	$47.72
United Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $50.34 / $84.74	Professional		$34.13	$50.34	$84.74