Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $31.86 / $47.79	Facility		$31.86	$31.86	$47.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $27.35 / $46.17	Professional		$22.28	$27.35	$46.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $30.42 / $53.75	Professional		$22.59	$30.42	$53.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $35.35 / $35.35	Facility		$35.35	$35.35	$35.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $37.11 / $44.19	Professional		$32.14	$37.11	$44.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $25.74 / $33.75	Facility		$22.20	$25.74	$33.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $26.64 / $29.37	Professional		$22.20	$26.64	$29.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $36.22 / $100.22	Professional		$26.54	$36.22	$100.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.13 / $31.86 / $75.27	Facility		$24.13	$31.86	$75.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $30.60 / $45.01	Professional		$24.13	$30.60	$45.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $34.19 / $49.36	Professional		$27.57	$34.19	$49.36
United Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $30.37 / $41.76	Professional		$24.33	$30.37	$41.76