Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.28 / $40.38 / $40.38	Facility		$30.28	$40.38	$40.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $38.90 / $48.28	Professional		$30.28	$38.90	$48.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $31.81 / $33.40	Professional		$31.81	$31.81	$33.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.19 / $62.57 / $257.77	Facility		$53.19	$62.57	$257.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $62.57 / $68.36	Professional		$53.18	$62.57	$68.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.61 / $61.61 / $61.61	Facility		$61.61	$61.61	$61.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $63.15 / $144.43	Professional		$36.79	$63.15	$144.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $34.32 / $40.38 / $41.91	Facility		$34.32	$40.38	$41.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $40.44 / $50.95	Professional		$31.86	$40.44	$50.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $33.18 / $38.76	Professional		$31.71	$33.18	$38.76
United Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $47.43 / $61.46	Professional		$37.88	$47.43	$61.46