Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $39.02 / $39.02	Facility		$39.02	$39.02	$39.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $38.82 / $39.02	Professional		$25.92	$38.82	$39.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.83 / $68.31	Professional		$4.80	$6.83	$68.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $27.94 / $35.13	Facility		$3.29	$27.94	$35.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $30.37 / $45.41	Professional		$4.05	$30.37	$45.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $43.75	Facility		$33.33	$33.33	$43.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $36.65 / $43.75	Professional		$33.33	$36.65	$43.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $38.15 / $54.63	Professional		$4.04	$38.15	$54.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $22.72 / $36.65	Professional		$3.00	$22.72	$36.65
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $28.58 / $45.37	Professional		$20.07	$28.58	$45.37