Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $26.13 / $30.02	Facility		$26.13	$26.13	$30.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $27.02 / $44.20	Professional		$22.47	$27.02	$44.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $27.34 / $27.34 / $57.90	Professional	25	$27.34	$27.34	$57.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $38.08	Professional		$25.46	$25.46	$38.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $49.00 / $50.31	Facility		$42.77	$49.00	$50.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $50.96 / $66.15	Professional		$42.76	$50.96	$66.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.21 / $36.04	Facility		$23.99	$30.21	$36.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $35.79 / $56.40	Professional		$28.29	$35.79	$56.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $35.71 / $106.47	Professional		$25.44	$35.71	$106.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $30.77 / $31.92	Facility		$26.13	$30.77	$31.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $30.77 / $44.32	Professional		$24.16	$30.77	$44.32
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 $28.99 / $34.14 / $42.40	Professional		$28.99	$34.14	$42.40