Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $24.17 / $36.26	Facility		$24.17	$24.17	$36.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $25.92 / $76.17	Professional		$18.28	$25.92	$76.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $22.09 / $23.85	Professional		$16.44	$22.09	$23.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.89 / $26.89 / $26.89	Facility		$26.89	$26.89	$26.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $28.23 / $33.61	Professional		$24.45	$28.23	$33.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $19.44 / $25.61	Facility		$16.95	$19.44	$25.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $20.34 / $22.26	Professional		$16.95	$20.34	$22.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $35.88 / $75.88	Professional		$22.74	$35.88	$75.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $25.77 / $57.10	Facility		$25.77	$25.77	$57.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $25.77 / $57.10	Professional		$18.48	$25.77	$57.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $11.50 / $75.00	Professional		$11.50	$11.50	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $32.21 / $44.94	Professional		$24.36	$32.21	$44.94