Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.23 / $42.23 / $64.00	Facility		$42.23	$42.23	$64.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $42.22 / $89.10	Professional		$27.64	$42.22	$89.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $39.60 / $69.73	Professional		$39.60	$39.60	$69.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.26 / $59.26 / $59.26	Facility		$59.26	$59.26	$59.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $61.63 / $74.08	Professional		$56.30	$61.63	$74.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.68 / $48.98 / $59.46	Facility		$37.68	$48.98	$59.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $52.03 / $77.64	Professional		$38.75	$52.03	$77.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $45.22 / $76.14	Professional		$32.54	$45.22	$76.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $41.50 / $64.00	Facility		$41.50	$41.50	$64.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $44.34 / $89.10	Professional		$32.88	$44.34	$89.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $34.19 / $50.08	Professional		$27.87	$34.19	$50.08
United Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $42.95 / $58.03	Professional		$33.46	$42.95	$58.03