Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.56 / $28.56 / $28.56	Facility		$28.56	$28.56	$28.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $28.56 / $29.53	Professional		$19.32	$28.56	$29.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $28.70 / $40.57	Professional		$28.70	$28.70	$40.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.76 / $132.76 / $173.85	Facility		$132.76	$132.76	$173.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $27.15 / $48.87	Professional		$2.78	$27.15	$48.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $20.71 / $26.66	Facility		$2.35	$20.71	$26.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $21.72 / $34.01	Professional		$2.90	$21.72	$34.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $23.28 / $30.56	Facility		$23.28	$23.28	$30.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $26.85 / $30.56	Professional		$23.28	$26.85	$30.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $28.55 / $42.51	Professional		$3.07	$28.55	$42.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $16.64 / $26.85	Professional		$2.27	$16.64	$26.85
United Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $18.60 / $28.78	Professional		$12.77	$18.60	$28.78