Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.09 / $53.09 / $53.09	Facility		$53.09	$53.09	$53.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $47.27 / $53.09	Professional		$33.96	$47.27	$53.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $60.72 / $79.19	Professional		$59.40	$60.72	$79.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $229.07 / $305.43	Facility		$17.93	$229.07	$305.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $47.70 / $85.86	Professional		$4.88	$47.70	$85.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $41.34 / $58.46	Facility		$4.13	$41.34	$58.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $38.17 / $71.95	Professional		$5.09	$38.17	$71.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $41.54 / $55.62	Facility		$41.54	$41.54	$55.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $49.46 / $57.01	Professional		$41.54	$49.46	$57.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $53.09 / $86.83	Professional		$6.50	$53.09	$86.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $30.00 / $49.46	Professional		$4.19	$30.00	$49.46
United Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $47.04 / $74.67	Professional		$27.36	$47.04	$74.67