Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $51.97 / $129.91	Facility		$20.04	$51.97	$129.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $19.30 / $24.21	Professional		$12.55	$19.30	$24.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $12.78 / $36.50	Professional		$9.66	$12.78	$36.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $21.84 / $38.36	Facility		$15.17	$21.84	$38.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $14.48 / $19.55	Professional		$9.85	$14.48	$19.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $19.30 / $49.96	Facility		$14.48	$19.30	$49.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $12.55 / $19.30	Professional		$12.55	$12.55	$19.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $22.13 / $27.66	Professional		$10.16	$22.13	$27.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $18.34 / $57.71 / $164.54	Facility		$18.34	$57.71	$164.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $24.13 / $42.99	Professional		$15.07	$24.13	$42.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $15.99 / $21.58	Professional		$14.39	$15.99	$21.58
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $15.14 / $25.89	Professional		$8.11	$15.14	$25.89