Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $48.33 / $72.50	Facility		$48.33	$48.33	$72.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $54.53 / $104.87	Professional		$34.44	$54.53	$104.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $35.47 / $61.20	Professional		$33.00	$35.47	$61.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $46.59 / $83.91	Facility		$23.56	$46.59	$83.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $55.95 / $66.61	Professional		$48.44	$55.95	$66.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.21 / $39.03 / $50.73	Facility		$33.21	$39.03	$50.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $39.85 / $44.20	Professional		$33.21	$39.85	$44.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $87.75 / $150.33	Professional		$44.30	$87.75	$150.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.83 / $64.83 / $114.18	Facility		$64.83	$64.83	$114.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $55.54 / $108.03	Professional		$34.79	$55.54	$108.03
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 $39.34 / $70.09 / $90.66	Professional		$39.34	$70.09	$90.66