Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $53.01 / $116.94	Facility		$5.46	$53.01	$116.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $6.97 / $60.30	Professional		$4.65	$6.97	$60.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.32 / $52.19	Professional		$5.01	$5.32	$52.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.87 / $258.20 / $504.53	Facility		$129.87	$258.20	$504.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $9.77 / $12.56	Professional		$6.43	$9.77	$12.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $6.78 / $8.46	Facility		$5.42	$6.78	$8.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $65.83 / $96.41	Professional		$53.06	$65.83	$96.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $50.59 / $68.37	Professional		$7.25	$50.59	$68.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $55.64 / $188.50	Facility		$6.94	$55.64	$188.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $53.08 / $71.47	Professional		$5.40	$53.08	$71.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $67.24 / $97.59	Professional		$53.61	$67.24	$97.59
United Facility/Professional Professional Modifier Low / Median / High Price $54.85 / $65.84 / $90.44	Professional		$54.85	$65.84	$90.44