Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $32.09 / $32.09	Facility		$32.09	$32.09	$32.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $32.09 / $33.13	Professional		$21.57	$32.09	$33.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $38.60 / $46.41	Professional		$38.60	$38.60	$46.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.12 / $148.12 / $193.97	Facility		$148.12	$148.12	$193.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $38.36 / $54.53	Professional		$3.11	$38.36	$54.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.67 / $22.63 / $31.58	Facility		$2.67	$22.63	$31.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $24.23 / $38.86	Professional		$3.23	$24.23	$38.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $37.19	Facility		$28.34	$28.34	$37.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $30.12 / $45.00	Professional		$30.12	$30.12	$45.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $32.09 / $48.59	Professional		$3.51	$32.09	$48.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.55 / $18.67 / $30.12	Professional		$2.55	$18.67	$30.12
United Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $21.91 / $33.76	Professional		$16.42	$21.91	$33.76