Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.06 / $44.03 / $69.53	Facility		$28.06	$44.03	$69.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.51 / $44.03 / $46.35	Professional		$33.51	$44.03	$46.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $28.97 / $28.97	Professional		$28.97	$28.97	$28.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $52.43 / $92.08	Facility		$36.40	$52.43	$92.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $34.76 / $46.93	Professional		$23.64	$34.76	$46.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.76 / $46.35 / $113.27	Facility		$34.76	$46.35	$113.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $30.13 / $46.35	Professional		$30.13	$30.13	$46.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $48.38 / $60.47	Professional		$24.37	$48.38	$60.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $44.03 / $80.91	Facility		$16.77	$44.03	$80.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $33.72 / $55.04	Professional		$16.77	$33.72	$55.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $38.38 / $51.81	Professional		$34.54	$38.38	$51.81
United Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $23.18 / $46.35	Facility		$23.18	$23.18	$46.35
United Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $10.77 / $27.81	Professional		$7.49	$10.77	$27.81