Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $40.36	Facility		$40.36	$40.36	$40.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $38.96 / $40.36	Professional		$24.87	$38.96	$40.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $46.65 / $62.20	Professional		$33.72	$46.65	$62.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.79 / $170.79 / $223.65	Facility		$170.79	$170.79	$223.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.93 / $46.57 / $62.87	Professional		$34.93	$46.57	$62.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $30.27 / $47.87	Facility		$3.12	$30.27	$47.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $27.94 / $58.92	Professional		$3.73	$27.94	$58.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $31.00 / $41.50	Facility		$31.00	$31.00	$41.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $37.95 / $51.79	Professional		$31.00	$37.95	$51.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $39.88 / $66.23	Professional		$5.32	$39.88	$66.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $32.10 / $51.79	Professional		$4.23	$32.10	$51.79
United Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $35.21 / $51.38	Professional		$20.93	$35.21	$51.38