Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $72.44 / $72.44	Facility		$30.20	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $93.33	Professional		$21.88	$36.31	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.39 / $39.81	Professional		$19.95	$22.39	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $21.38 / $38.90	Facility		$10.23	$21.38	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.92 / $28.84	Professional		$24.55	$26.92	$28.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $27.54 / $30.90	Facility		$17.38	$27.54	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.99 / $51.29	Professional		$21.88	$23.99	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $79.43	Professional		$23.44	$31.62	$79.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $70.79 / $72.44	Facility		$25.70	$70.79	$72.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $64.57	Professional		$22.91	$30.90	$64.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $79.43	Professional		$23.44	$32.36	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $40.74	Professional		$23.99	$30.20	$40.74