Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $81.77 / $283.57	Facility		$33.90	$81.77	$283.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.25 / $47.00	Professional		$26.92	$35.25	$47.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $33.40 / $55.31	Professional		$30.73	$33.40	$55.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.91 / $50.49 / $58.07	Facility		$42.91	$50.49	$58.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $51.79 / $64.73	Professional		$41.43	$51.79	$64.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $30.88 / $42.97	Facility		$23.02	$30.88	$42.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $37.06 / $67.59	Professional		$29.88	$37.06	$67.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $39.00 / $45.39	Professional		$24.00	$39.00	$45.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $81.77 / $283.57	Facility		$37.20	$81.77	$283.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $35.89 / $45.95	Professional		$27.59	$35.89	$45.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $33.05 / $47.72	Professional		$26.06	$33.05	$47.72
United Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $42.19 / $57.76	Professional		$34.22	$42.19	$57.76