Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $26.01 / $28.56	Facility		$25.76	$26.01	$28.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $26.24 / $38.88	Professional		$22.77	$26.24	$38.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.21 / $27.47 / $35.38	Professional		$26.21	$27.47	$35.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $37.35 / $122.41	Facility		$24.99	$37.35	$122.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $39.22 / $46.69	Professional		$35.47	$39.22	$46.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $30.24 / $35.58	Facility		$23.72	$30.24	$35.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.89 / $42.94	Professional		$26.92	$33.89	$42.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $39.04	Professional		$24.70	$24.70	$39.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $1,893.68 / $1,893.68	Facility		$25.76	$1,893.68	$1,893.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $29.69 / $1,893.68	Professional		$24.69	$29.69	$1,893.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $34.36 / $49.63	Professional		$27.68	$34.36	$49.63
United Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $32.49 / $42.01	Professional		$26.96	$32.49	$42.01