Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $25.54 / $25.78	Facility		$23.25	$25.54	$25.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $23.44 / $31.32	Professional		$18.75	$23.44	$31.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $30.94 / $32.53	Professional		$25.00	$30.94	$32.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.81 / $48.57 / $88.87	Facility		$44.81	$48.57	$88.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $47.05 / $60.49	Professional		$42.57	$47.05	$60.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $35.51 / $42.57	Facility		$28.38	$35.51	$42.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $37.72 / $70.98	Professional		$30.61	$37.72	$70.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $41.25 / $47.55	Professional		$29.16	$41.25	$47.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $24.97 / $78.92	Facility		$23.25	$24.97	$78.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $24.97 / $35.76	Professional		$20.68	$24.97	$35.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $33.83 / $49.49	Professional		$27.68	$33.83	$49.49
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $29.42 / $42.03	Professional		$25.37	$29.42	$42.03