Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $28.03 / $32.60	Facility		$23.95	$28.03	$32.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $31.92 / $147.15	Professional		$23.53	$31.92	$147.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $30.62 / $50.98	Professional		$29.21	$30.62	$50.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.32 / $44.32 / $44.32	Facility		$44.32	$44.32	$44.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $46.54 / $55.40	Professional		$42.10	$46.54	$55.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $35.40 / $42.23	Facility		$28.14	$35.40	$42.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $37.72 / $59.70	Professional		$29.83	$37.72	$59.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $39.45 / $95.13	Professional		$26.29	$39.45	$95.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $27.71 / $34.84	Facility		$23.70	$27.71	$34.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $32.60 / $133.16	Professional		$24.44	$32.60	$133.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $29.40 / $55.00	Professional		$19.60	$29.40	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $38.51 / $52.52	Professional		$31.51	$38.51	$52.52