Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $26.50 / $26.50	Facility		$26.50	$26.50	$26.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $26.50 / $28.23	Professional		$18.48	$26.50	$28.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $36.38 / $36.38	Professional		$36.38	$36.38	$36.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.93 / $126.93 / $166.21	Facility		$126.93	$126.93	$166.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $25.96 / $35.04	Professional		$2.66	$25.96	$35.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $17.75 / $23.64	Facility		$2.25	$17.75	$23.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $20.77 / $29.10	Professional		$2.77	$20.77	$29.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $22.28 / $29.25	Facility		$22.28	$22.28	$29.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $22.28 / $29.25	Professional		$20.75	$22.28	$29.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $25.40 / $36.36	Professional		$3.46	$25.40	$36.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $20.75 / $22.82	Professional		$12.76	$20.75	$22.82
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $19.03 / $31.55	Professional		$12.28	$19.03	$31.55