Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.84 / $47.83 / $82.00	Facility		$35.84	$47.83	$82.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $35.84 / $65.04	Professional		$25.08	$35.84	$65.04
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $34.04 / $34.04 / $34.04	Professional	25	$34.04	$34.04	$34.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $37.57 / $60.61	Professional		$33.86	$37.57	$60.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.93 / $50.80 / $50.80	Facility		$45.93	$50.80	$50.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $50.80 / $68.58	Professional		$46.18	$50.80	$68.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $24.90 / $34.95	Facility		$23.72	$24.90	$34.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $43.05 / $55.03	Professional		$34.60	$43.05	$55.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $40.22 / $97.88	Professional		$27.96	$40.22	$97.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $35.84 / $36.96 / $47.83	Facility		$35.84	$36.96	$47.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $36.96 / $65.04	Professional		$27.57	$36.96	$65.04
Health Alliance Plan Facility/Professional Professional Modifier 25 Low / Median / High Price $34.04 / $34.04 / $34.04	Professional	25	$34.04	$34.04	$34.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $67.28 / $94.57	Professional		$53.66	$67.28	$94.57
United Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $43.95 / $60.92	Professional		$37.72	$43.95	$60.92