Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $20.92 / $20.92	Facility		$20.92	$20.92	$20.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $20.47 / $20.92	Professional		$12.99	$20.47	$20.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $28.07 / $32.22	Professional		$24.17	$28.07	$32.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $89.15 / $116.75	Facility		$66.84	$89.15	$116.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $17.32 / $32.82	Professional		$1.87	$17.32	$32.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $11.69 / $22.96	Facility		$1.58	$11.69	$22.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $14.09 / $28.26	Professional		$1.94	$14.09	$28.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $15.88 / $21.26	Facility		$15.88	$15.88	$21.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $19.80 / $23.80	Professional		$15.88	$19.80	$23.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $20.92 / $37.65	Professional		$3.03	$20.92	$37.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.03 / $14.75 / $23.80	Professional		$2.03	$14.75	$23.80
United Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $16.98 / $26.95	Professional		$10.77	$16.98	$26.95