Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.43 / $26.43 / $26.43	Facility		$26.43	$26.43	$26.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $23.18 / $26.43	Professional		$16.05	$23.18	$26.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $40.79	Professional		$30.60	$30.60	$40.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.66 / $110.20 / $144.31	Facility		$82.66	$110.20	$144.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $28.55 / $40.57	Professional		$2.31	$28.55	$40.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.27 / $19.59 / $33.42	Facility		$3.27	$19.59	$33.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $18.03 / $41.14	Professional		$2.41	$18.03	$41.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $19.82 / $26.55	Facility		$19.82	$19.82	$26.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $24.10 / $32.14	Professional		$19.82	$24.10	$32.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $26.43 / $44.17	Professional		$3.58	$26.43	$44.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $19.92 / $32.14	Professional		$2.63	$19.92	$32.14
United Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $23.69 / $34.58	Professional		$12.79	$23.69	$34.58