Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $24.59 / $24.59	Facility		$24.59	$24.59	$24.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $24.59 / $24.85	Professional		$17.30	$24.59	$24.85
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 Facility Modifier Low / Median / High Price $118.78 / $118.78 / $155.55	Facility		$118.78	$118.78	$155.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.08 / $4.37 / $43.73	Professional		$3.08	$4.37	$43.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $16.05 / $24.75	Facility		$2.11	$16.05	$24.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $19.44 / $26.36	Professional		$2.59	$19.44	$26.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $21.16 / $21.16	Facility		$21.16	$21.16	$21.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $21.16 / $27.78	Professional		$17.61	$21.16	$27.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $23.81 / $32.95	Professional		$2.38	$23.81	$32.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $17.61 / $17.61	Professional		$10.83	$17.61	$17.61
United Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $17.23 / $27.36	Professional		$13.33	$17.23	$27.36