Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.04 / $33.39 / $36.36	Facility		$25.04	$33.39	$36.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $29.58 / $39.44	Professional		$22.73	$29.58	$39.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $33.84 / $33.84	Professional		$24.03	$33.84	$33.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.14 / $47.31 / $86.27	Facility		$47.14	$47.31	$86.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $49.68 / $63.87	Professional		$44.94	$49.68	$63.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $30.02 / $42.03	Facility		$22.06	$30.02	$42.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $37.79 / $74.06	Professional		$31.49	$37.79	$74.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $62.19 / $160.56	Professional		$38.81	$62.19	$160.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $34.04 / $36.36	Facility		$28.38	$34.04	$36.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $30.91 / $38.17	Professional		$25.04	$30.91	$38.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $32.57 / $32.59	Professional		$20.23	$32.57	$32.59
United Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $36.75 / $46.58	Professional		$29.00	$36.75	$46.58