Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Facility		$44.11	$44.11	$44.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $38.03 / $44.11	Professional		$29.84	$38.03	$44.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $61.23 / $61.23	Professional		$61.23	$61.23	$61.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.97 / $204.97 / $268.41	Facility		$204.97	$204.97	$268.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $39.82 / $75.45	Professional		$5.59	$39.82	$75.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $32.02 / $42.70	Facility		$3.63	$32.02	$42.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $33.54 / $52.55	Professional		$4.47	$33.54	$52.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $34.40	Facility		$34.40	$34.40	$34.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $35.11 / $45.54	Professional		$34.40	$35.11	$45.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $43.30 / $65.69	Professional		$4.75	$43.30	$65.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $35.11 / $35.11	Professional		$21.59	$35.11	$35.11
United Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $26.40 / $40.51	Facility		$3.04	$26.40	$40.51
United Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $32.36 / $45.82	Professional		$21.32	$32.36	$45.82