Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.85 / $22.74 / $99.95	Facility		$6.85	$22.74	$99.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $10.55 / $23.56	Professional		$6.48	$10.55	$23.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $8.23 / $8.85	Professional		$8.18	$8.23	$8.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $180.94 / $329.54	Facility		$90.81	$180.94	$329.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $60.00 / $81.00	Professional		$57.00	$60.00	$81.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $16.19 / $25.73	Facility		$11.03	$16.19	$25.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $14.17 / $15.26	Professional		$12.08	$14.17	$15.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $21.12 / $21.41	Facility		$21.12	$21.12	$21.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $21.12 / $48.95	Professional		$15.42	$21.12	$48.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.85 / $12.11 / $99.95	Facility		$6.85	$12.11	$99.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $11.93 / $23.56	Professional		$6.84	$11.93	$23.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $48.95 / $73.42	Professional		$36.71	$48.95	$73.42
United Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $8.00 / $10.60	Facility		$7.75	$8.00	$10.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $8.01 / $13.35	Professional		$5.81	$8.01	$13.35