Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $38.31 / $8,999.18	Facility		$28.82	$38.31	$8,999.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.83 / $34.68	Professional		$27.99	$28.83	$34.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $28.62	Professional		$27.99	$27.99	$28.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.02 / $84.51 / $161.04	Facility		$45.02	$84.51	$161.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $41.06 / $53.30	Professional		$37.51	$41.06	$53.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $30.79 / $42.78	Facility		$27.99	$30.79	$42.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $29.39 / $64.90	Professional		$27.99	$29.39	$64.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $27.99 / $29.01	Professional		$26.91	$27.99	$29.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $57.47 / $7,362.48	Facility		$28.82	$57.47	$7,362.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.83 / $36.38	Professional		$27.99	$28.83	$36.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $35.77 / $42.93	Professional		$27.42	$35.77	$42.93
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $31.16 / $35.83	Professional		$27.99	$31.16	$35.83