Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.97 / $217.01 / $324.16	Facility		$169.97	$217.01	$324.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $16.36 / $54.40	Professional		$13.34	$16.36	$54.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $15.96 / $22.89	Professional		$13.57	$15.96	$22.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $15.00 / $19.27	Facility		$13.41	$15.00	$19.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $15.75 / $20.25	Professional		$13.57	$15.75	$20.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $11.71 / $16.45	Facility		$11.15	$11.71	$16.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $14.79 / $18.96	Professional		$12.00	$14.79	$18.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $40.79	Professional		$14.28	$14.28	$40.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.82 / $217.01 / $324.16	Facility		$15.82	$217.01	$324.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $15.96 / $24.55	Professional		$13.34	$15.96	$24.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $19.45 / $24.14	Professional		$16.80	$19.45	$24.14