Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.40 / $45.97 / $45.97	Facility		$44.40	$45.97	$45.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $45.18 / $88.40	Professional		$39.29	$45.18	$88.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $33.70 / $33.70	Professional		$33.70	$33.70	$33.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $33.61 / $33.81	Facility		$33.61	$33.61	$33.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $33.61 / $45.64	Professional		$31.94	$33.61	$45.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $47.15 / $47.15	Professional		$47.15	$47.15	$47.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $60.94	Professional		$14.86	$14.86	$60.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $33.86 / $45.97	Facility		$33.86	$33.86	$45.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $37.38 / $45.97	Professional		$33.86	$37.38	$45.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,500.00	Professional		$30.00	$30.00	$1,500.00