Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $32.40 / $36.46	Facility		$26.30	$32.40	$36.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $25.69 / $38.20	Professional		$21.47	$25.69	$38.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $25.11 / $26.97 / $97.21	Professional	25	$25.11	$26.97	$97.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $25.94 / $32.20	Professional		$20.04	$25.94	$32.20
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $23.27 / $27.37 / $28.56	Professional	25	$23.27	$27.37	$28.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $26.88 / $89.32	Facility		$18.23	$26.88	$89.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $27.96 / $33.60	Professional		$25.38	$27.96	$33.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $29.60 / $35.21	Facility		$23.40	$29.60	$35.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $33.49 / $52.96	Professional		$26.41	$33.49	$52.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $29.05 / $85.30	Professional		$22.05	$29.05	$85.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $32.40 / $36.46	Facility		$26.27	$32.40	$36.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $27.61 / $37.84	Professional		$23.26	$27.61	$37.84
Health Alliance Plan Facility/Professional Professional Modifier 25 Low / Median / High Price $25.11 / $25.11 / $101.00	Professional	25	$25.11	$25.11	$101.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $34.19 / $49.63	Professional		$27.68	$34.19	$49.63
United Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $30.03 / $38.65	Professional		$25.42	$30.03	$38.65