Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.51 / $33.51 / $50.27	Facility		$33.51	$33.51	$50.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $29.12 / $72.16	Professional		$23.45	$29.12	$72.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $24.89 / $32.36	Professional		$23.74	$24.89	$32.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $37.35 / $37.35	Facility		$37.35	$37.35	$37.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $39.22 / $46.69	Professional		$33.96	$39.22	$46.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $27.38 / $35.40	Facility		$23.15	$27.38	$35.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $27.78 / $30.86	Professional		$23.15	$27.78	$30.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $36.24 / $105.94	Professional		$27.43	$36.24	$105.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $33.51 / $79.17	Facility		$25.30	$33.51	$79.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $33.43 / $64.29	Professional		$24.12	$33.43	$64.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $15.98 / $75.00	Professional		$15.98	$15.98	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $31.26 / $42.90	Professional		$24.63	$31.26	$42.90