Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.06 / $34.06 / $51.09	Facility		$34.06	$34.06	$51.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $28.76 / $54.00	Professional		$23.05	$28.76	$54.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $24.70 / $44.46	Professional		$22.97	$24.70	$44.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $22.80 / $41.06	Facility		$11.53	$22.80	$41.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $29.45 / $36.81	Professional		$26.50	$29.45	$36.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $27.17 / $35.64	Facility		$23.47	$27.17	$35.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $28.16 / $31.01	Professional		$23.47	$28.16	$31.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $38.42 / $105.94	Professional		$28.90	$38.42	$105.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.52 / $34.06 / $80.47	Facility		$26.52	$34.06	$80.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $31.02 / $51.00	Professional		$24.70	$31.02	$51.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $34.19 / $49.21	Professional		$27.57	$34.19	$49.21
United Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $32.28 / $45.72	Professional		$26.22	$32.28	$45.72