Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.42 / $39.42 / $59.13	Facility		$39.42	$39.42	$59.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $38.17 / $98.56	Professional		$29.11	$38.17	$98.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $29.02 / $64.86	Professional		$26.99	$29.02	$64.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $36.94 / $66.53	Facility		$18.54	$36.94	$66.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.39 / $45.50 / $54.16	Professional		$39.39	$45.50	$54.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.89 / $31.92 / $41.28	Facility		$26.89	$31.92	$41.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $32.27 / $36.01	Professional		$26.89	$32.27	$36.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $47.41 / $121.69	Professional		$32.65	$47.41	$121.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $39.42 / $93.13	Facility		$32.74	$39.42	$93.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $39.42 / $83.16	Professional		$29.60	$39.42	$83.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $34.19 / $49.49	Professional		$27.57	$34.19	$49.49
United Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $38.69 / $55.54	Professional		$30.71	$38.69	$55.54