Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $40.65 / $58.29	Professional		$27.50	$40.65	$58.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $43.56 / $43.56	Professional		$43.56	$43.56	$43.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $45.47 / $61.74	Professional		$43.20	$45.47	$61.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.08 / $51.08 / $51.08	Facility		$51.08	$51.08	$51.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $54.50 / $54.50	Professional		$54.50	$54.50	$54.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $47.29 / $101.00	Professional		$36.19	$47.29	$101.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $55.97 / $79.70	Professional		$34.94	$55.97	$79.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $65.16 / $78.80	Professional		$53.55	$65.16	$78.80
United Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $57.62 / $96.81	Professional		$38.64	$57.62	$96.81