Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $54.29 / $33,078.36	Facility		$17.53	$54.29	$33,078.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.19 / $21.44	Professional		$17.02	$17.19	$21.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $20.27 / $30.00	Professional		$17.02	$20.27	$30.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.77 / $34.26 / $69.38	Facility		$17.77	$34.26	$69.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $18.02 / $23.40	Professional		$16.46	$18.02	$23.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $18.57 / $25.53	Facility		$16.89	$18.57	$25.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.87 / $39.46	Professional		$17.02	$17.87	$39.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $20.07	Professional		$17.02	$17.02	$20.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $33.93 / $31,074.96	Facility		$17.02	$33.93	$31,074.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.39 / $22.12	Professional		$17.02	$17.39	$22.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $17.85 / $25.33	Professional		$16.23	$17.85	$25.33
United Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $18.95 / $21.11	Professional		$17.02	$18.95	$21.11