Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Facility		$32.36	$33.11	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $41.69	Professional		$26.92	$33.11	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.90 / $69.18	Facility		$26.30	$38.90	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.30 / $26.30	Professional		$25.12	$26.30	$26.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $52.48 / $97.72	Facility		$35.48	$52.48	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $47.86	Professional		$37.15	$45.71	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $38.90	Professional		$18.62	$18.62	$38.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $41.69 / $131.83	Facility		$33.11	$41.69	$131.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $60.26	Professional		$30.20	$41.69	$60.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $30.90	Professional		$18.62	$18.62	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $35.48 / $41.69	Facility		$31.62	$35.48	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $28.84 / $45.71	Professional		$14.79	$28.84	$45.71