Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $35.29 / $57.00	Professional		$26.40	$35.29	$57.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $44.85 / $49.88	Professional		$38.09	$44.85	$49.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $45.39 / $61.28	Professional		$42.33	$45.39	$61.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $51.41 / $51.41	Facility		$51.41	$51.41	$51.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $48.21 / $48.23	Professional		$48.18	$48.21	$48.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $71.47 / $104.57	Professional		$38.70	$71.47	$104.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $44.92 / $64.05	Professional		$31.76	$44.92	$64.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $64.62 / $78.80	Professional		$52.98	$64.62	$78.80
United Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $47.73 / $58.21	Professional		$37.65	$47.73	$58.21