Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.24 / $31.38 / $44.55	Facility		$25.24	$31.38	$44.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $32.69 / $53.63	Professional		$21.58	$32.69	$53.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $37.65 / $37.65	Professional		$35.08	$37.65	$37.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $34.86 / $279.87	Facility		$34.86	$34.86	$279.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $37.04 / $52.06	Professional		$33.11	$37.04	$52.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $28.16 / $33.57	Facility		$22.13	$28.16	$33.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $46.01 / $71.40	Professional		$36.83	$46.01	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $36.94 / $95.54	Professional		$22.99	$36.94	$95.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $35.11 / $44.55	Facility		$28.27	$35.11	$44.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $35.21 / $51.59	Professional		$24.23	$35.21	$51.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $31.89 / $52.74	Professional		$24.50	$31.89	$52.74
United Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $41.21 / $52.59	Professional		$36.38	$41.21	$52.59