Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $51.39 / $51.40	Facility		$38.54	$51.39	$51.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $51.39 / $94.50	Professional		$33.95	$51.39	$94.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $38.32 / $62.24 / $94.67	Professional	25	$38.32	$62.24	$94.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $49.01 / $63.71	Professional		$45.49	$49.01	$63.71
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $41.66 / $49.01 / $88.23	Professional	25	$41.66	$49.01	$88.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.08 / $53.03 / $257.77	Facility		$45.08	$53.03	$257.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $55.68 / $66.29	Professional		$42.83	$55.68	$66.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.22 / $59.14 / $72.78	Facility		$46.22	$59.14	$72.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $63.35 / $95.56	Professional		$47.18	$63.35	$95.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $46.25 / $92.61	Professional		$32.58	$46.25	$92.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $51.39 / $51.40	Facility		$37.90	$51.39	$51.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $51.01 / $84.48	Professional		$37.90	$51.01	$84.48
Health Alliance Plan Facility/Professional Professional Modifier 25 Low / Median / High Price $41.08 / $63.38 / $87.12	Professional	25	$41.08	$63.38	$87.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $34.19 / $50.08	Professional		$28.04	$34.19	$50.08
United Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $43.28 / $63.80	Professional		$35.51	$43.28	$63.80