Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $39.18 / $39.18	Facility		$39.18	$39.18	$39.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $39.18 / $88.15	Professional		$33.79	$39.18	$88.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $48.23 / $51.67	Professional		$43.06	$48.23	$51.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.65 / $155.15 / $294.89	Facility		$74.65	$155.15	$294.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $53.51 / $66.89	Professional		$48.88	$53.51	$66.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $69.45 / $84.89	Facility		$51.45	$69.45	$84.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $66.89 / $119.29	Professional		$54.02	$66.89	$119.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $97.36	Professional		$20.99	$20.99	$97.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $35.06 / $35.06 / $39.18	Facility		$35.06	$35.06	$39.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $39.18 / $72.03	Professional		$34.96	$39.18	$72.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.21 / $34.74 / $54.37	Professional		$30.21	$34.74	$54.37
United Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $24.16 / $38.11	Professional		$18.18	$24.16	$38.11