Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $28.78 / $53.20	Professional		$20.48	$28.78	$53.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $34.59 / $45.00	Professional		$31.09	$34.59	$45.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $33.72 / $45.52	Professional		$31.61	$33.72	$45.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $38.11 / $38.11	Facility		$38.11	$38.11	$38.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $37.14 / $37.20	Professional		$37.14	$37.14	$37.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $67.08 / $104.01	Professional		$34.17	$67.08	$104.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $35.44 / $53.56	Professional		$24.30	$35.44	$53.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $32.99 / $40.55	Professional		$27.71	$32.99	$40.55
United Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $38.00 / $42.77	Professional		$31.41	$38.00	$42.77