Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.02 / $72.02 / $72.02	Facility		$72.02	$72.02	$72.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $63.08 / $72.02	Professional		$48.31	$63.08	$72.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $73.98 / $76.70	Professional		$73.98	$73.98	$76.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $85.95 / $122.13	Professional		$6.61	$85.95	$122.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $53.42 / $71.22	Facility		$5.88	$53.42	$71.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $54.29 / $87.66	Professional		$7.24	$54.29	$87.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $75.52	Facility		$57.54	$57.54	$75.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.56 / $80.36	Professional		$57.54	$72.56	$80.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $72.02 / $102.93	Professional		$8.14	$72.02	$102.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $30.00 / $80.36	Professional		$6.58	$30.00	$80.36
United Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $57.32 / $76.42	Professional		$35.42	$57.32	$76.42