Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $18.13 / $22.00	Professional		$13.12	$18.13	$22.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $25.52 / $30.00	Professional		$19.42	$25.52	$30.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.37 / $30.20	Professional		$19.05	$22.37	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $24.86 / $24.86	Facility		$24.86	$24.86	$24.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $23.70 / $24.27	Professional		$23.70	$23.70	$24.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $61.95 / $104.57	Professional		$25.06	$61.95	$104.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $23.66 / $33.00	Professional		$15.98	$23.66	$33.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $30.00 / $75.00	Professional		$19.01	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $25.50 / $30.19	Professional		$21.39	$25.50	$30.19