Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.07 / $31.38 / $32.33	Facility		$31.07	$31.38	$32.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $32.01 / $96.43	Professional		$27.76	$32.01	$96.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $48.22 / $166.32 / $388.08	Professional	25	$48.22	$166.32	$388.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $31.90 / $54.68	Professional		$25.52	$31.90	$54.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.93 / $37.27 / $63.11	Facility		$26.93	$37.27	$63.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $39.13 / $46.59	Professional		$32.72	$39.13	$46.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $36.51 / $43.53	Facility		$29.02	$36.51	$43.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $39.26 / $62.01	Professional		$31.08	$39.26	$62.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $44.77	Professional		$28.57	$28.57	$44.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.07 / $33.17 / $34.81	Facility		$31.07	$33.17	$34.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $33.17 / $144.65	Professional		$29.21	$33.17	$144.65
Health Alliance Plan Facility/Professional Professional Modifier 25 Low / Median / High Price $48.22 / $166.32 / $388.08	Professional	25	$48.22	$166.32	$388.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $34.19 / $49.63	Professional		$27.68	$34.19	$49.63
United Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $38.70 / $49.40	Professional		$32.01	$38.70	$49.40