Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $34.88 / $56.83	Facility		$23.62	$34.88	$56.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $38.35 / $54.13	Professional		$20.26	$38.35	$54.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $33.69 / $53.56	Professional		$23.34	$33.69	$53.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.11 / $62.75 / $73.45	Facility		$51.11	$62.75	$73.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $63.87 / $78.44	Professional		$51.11	$63.87	$78.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $22.33 / $31.26	Facility		$16.38	$22.33	$31.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $46.25 / $88.19	Professional		$38.04	$46.25	$88.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $48.00 / $57.43	Professional		$30.00	$48.00	$57.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $34.88 / $56.83	Facility		$23.62	$34.88	$56.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $38.27 / $53.39	Professional		$20.76	$38.27	$53.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $66.67 / $95.66	Professional		$53.47	$66.67	$95.66
United Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $52.80 / $70.42	Professional		$42.70	$52.80	$70.42