Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.95 / $42.77 / $18,069.12	Facility		$33.95	$42.77	$18,069.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $33.29 / $41.52	Professional		$32.96	$33.29	$41.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $29.91 / $61.27	Professional		$27.50	$29.91	$61.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $67.63 / $136.97	Facility		$35.07	$67.63	$136.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $34.92 / $45.33	Professional		$31.90	$34.92	$45.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $36.26 / $49.50	Facility		$32.96	$36.26	$49.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $34.61 / $76.43	Professional		$32.96	$34.61	$76.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $38.86	Professional		$32.96	$32.96	$38.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $66.00 / $18,069.12	Facility		$33.00	$66.00	$18,069.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $33.95 / $42.84	Professional		$32.96	$33.95	$42.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $35.58 / $49.44	Professional		$32.35	$35.58	$49.44
United Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $32.96 / $32.96	Facility		$32.96	$32.96	$32.96
United Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $36.69 / $39.88	Professional		$32.96	$36.69	$39.88