Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $52.50	Facility		$41.14	$41.14	$52.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $38.69 / $44.20	Professional		$28.62	$38.69	$44.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.39 / $47.39 / $47.39	Professional		$47.39	$47.39	$47.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.03 / $217.21 / $395.62	Facility		$109.03	$217.21	$395.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $72.03 / $97.24	Professional		$68.43	$72.03	$97.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.01 / $37.85 / $46.82	Facility		$36.01	$37.85	$46.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.62 / $57.62 / $57.62	Professional		$57.62	$57.62	$57.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $36.61	Facility		$36.61	$36.61	$36.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $36.61 / $83.63	Professional		$36.61	$36.61	$83.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $52.06 / $52.50	Facility		$41.14	$52.06	$52.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $52.06 / $75.63	Professional		$32.67	$52.06	$75.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $53.30 / $61.29	Professional		$45.30	$53.30	$61.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $33.22 / $51.55	Professional		$21.26	$33.22	$51.55