Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $30.37 / $43.33	Facility		$22.78	$30.37	$43.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $35.54 / $51.74	Professional		$22.94	$35.54	$51.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $45.90 / $66.00	Professional		$42.52	$45.90	$66.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.45 / $45.24 / $156.22	Facility		$35.45	$45.24	$156.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $41.14 / $53.34	Professional		$28.42	$41.14	$53.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $40.59 / $56.83	Facility		$29.86	$40.59	$56.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $60.66 / $117.41	Professional		$50.55	$60.66	$117.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $79.58 / $236.32	Professional		$34.39	$79.58	$236.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $43.33 / $46.40	Facility		$25.81	$43.33	$46.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $36.29 / $52.78	Professional		$22.80	$36.29	$52.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $66.98 / $95.66	Professional		$53.80	$66.98	$95.66
United Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $52.80 / $64.98	Professional		$44.76	$52.80	$64.98