Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $25.12	Facility		$22.91	$22.91	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $33.88	Professional		$18.20	$22.91	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $34.67	Professional		$23.99	$33.11	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $47.86	Professional		$42.66	$44.67	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $36.31 / $38.90	Facility		$28.18	$36.31	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $42.66	Professional		$30.90	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $45.71	Professional		$28.84	$38.02	$45.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.12 / $25.12	Facility		$22.91	$25.12	$25.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $38.02	Professional		$19.05	$25.12	$38.02
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $47.86	Professional		$28.84	$36.31	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $85.11 / $104.71	Facility		$38.90	$85.11	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $38.90	Professional		$22.91	$28.18	$38.90