Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.34 / $53.34 / $53.34	Facility		$53.34	$53.34	$53.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $46.94 / $53.34	Professional		$35.57	$46.94	$53.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.42 / $239.98 / $319.94	Facility		$24.42	$239.98	$319.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $49.97 / $89.94	Professional		$6.66	$49.97	$89.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $40.08 / $51.60	Facility		$4.33	$40.08	$51.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $39.97 / $65.79	Professional		$5.33	$39.97	$65.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $42.49 / $55.77	Facility		$42.49	$42.49	$55.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $46.89 / $55.77	Professional		$42.49	$46.89	$55.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $53.29 / $82.24	Professional		$5.94	$53.29	$82.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $46.89 / $46.89	Professional		$37.51	$46.89	$46.89
United Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $37.93 / $52.86	Professional		$23.63	$37.93	$52.86