Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $25.71 / $25.71	Facility		$25.71	$25.71	$25.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $24.18 / $25.71	Professional		$21.66	$24.18	$25.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $45.02 / $45.02	Professional		$37.60	$45.02	$45.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.14 / $135.76 / $247.27	Facility		$68.14	$135.76	$247.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $45.02 / $60.78	Professional		$42.77	$45.02	$60.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $25.56 / $29.26	Facility		$24.51	$25.56	$29.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $36.02 / $36.02	Professional		$36.02	$36.02	$36.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $29.97 / $29.97	Facility		$29.97	$29.97	$29.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.44 / $65.16	Professional		$21.88	$37.44	$65.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $32.54 / $32.54	Facility		$25.71	$32.54	$32.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $32.54 / $45.02	Professional		$21.66	$32.54	$45.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $33.31 / $38.30	Professional		$28.31	$33.31	$38.30
United Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $20.77 / $30.09	Professional		$14.08	$20.77	$30.09