Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.18 / $41.18 / $41.18	Facility		$41.18	$41.18	$41.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $34.33 / $41.18	Professional		$16.80	$34.33	$41.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.97 / $54.08 / $54.08	Professional		$45.97	$54.08	$54.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.86 / $163.08 / $297.02	Facility		$81.86	$163.08	$297.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $54.08 / $73.01	Professional		$51.38	$54.08	$73.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $54.08 / $80.31	Facility		$35.15	$54.08	$80.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $70.30 / $75.70	Professional		$43.26	$70.30	$75.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $36.21 / $36.21	Facility		$36.21	$36.21	$36.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $36.21 / $62.63	Professional		$29.14	$36.21	$62.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.09 / $39.09 / $41.18	Facility		$39.09	$39.09	$41.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $41.17 / $56.78	Professional		$20.39	$41.17	$56.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $40.02 / $46.02	Professional		$34.01	$40.02	$46.02
United Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $25.85 / $40.61	Professional		$20.23	$25.85	$40.61