Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $32.14 / $32.14	Facility		$32.14	$32.14	$32.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $32.14 / $32.14	Professional		$26.78	$32.14	$32.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $47.83 / $56.27	Professional		$42.21	$47.83	$56.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.17 / $169.69 / $309.06	Facility		$85.17	$169.69	$309.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $56.27 / $75.95	Professional		$53.46	$56.27	$75.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $36.58 / $40.90	Facility		$32.61	$36.58	$40.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $45.02 / $45.02	Professional		$45.02	$45.02	$45.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $34.77 / $34.77	Facility		$34.77	$34.77	$34.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $46.79 / $81.56	Professional		$25.38	$46.79	$81.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $40.65 / $40.65	Facility		$32.14	$40.65	$40.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $40.65 / $59.08	Professional		$30.14	$40.65	$59.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $41.64 / $47.88	Professional		$34.14	$41.64	$47.88
United Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $26.90 / $40.28	Professional		$20.87	$26.90	$40.28