Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $21.30 / $51.25	Facility		$19.02	$21.30	$51.25
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $32.67 / $32.67 / $32.67	Facility	25	$32.67	$32.67	$32.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $40.64 / $71.00	Professional		$17.01	$40.64	$71.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.00 / $128.00 / $128.00	Professional	25	$128.00	$128.00	$128.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $34.61 / $62.30	Professional		$17.89	$34.61	$62.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $42.50 / $61.99	Facility		$11.07	$42.50	$61.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $21.51 / $53.13	Professional		$18.17	$21.51	$53.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $21.79 / $25.59	Facility		$17.05	$21.79	$25.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $52.82 / $66.91	Professional		$42.64	$52.82	$66.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $39.88 / $59.55	Professional		$25.24	$39.88	$59.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $41.05 / $51.25	Facility		$19.29	$41.05	$51.25
Health Alliance Plan Facility/Professional Facility Modifier 25 Low / Median / High Price $32.67 / $32.67 / $32.67	Facility	25	$32.67	$32.67	$32.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $41.78 / $67.73	Professional		$17.89	$41.78	$67.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $33.44 / $48.25	Professional		$26.80	$33.44	$48.25
United Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $46.79 / $60.61	Professional		$39.84	$46.79	$60.61