Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $40.15 / $40.15	Facility		$40.15	$40.15	$40.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $40.15 / $42.98	Professional		$28.33	$40.15	$42.98
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 $5.01 / $5.27 / $52.74	Professional		$5.01	$5.27	$52.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $27.32 / $38.32	Facility		$3.43	$27.32	$38.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $33.61 / $49.63	Professional		$4.48	$33.61	$49.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $36.44 / $36.44	Facility		$36.44	$36.44	$36.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $36.44 / $47.83	Professional		$34.79	$36.44	$47.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $38.11 / $52.74	Professional		$5.27	$38.11	$52.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $21.57 / $34.79	Professional		$2.85	$21.57	$34.79
United Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $27.59 / $41.29	Professional		$20.70	$27.59	$41.29