Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.07 / $707.80 / $3,239.03	Facility		$62.07	$707.80	$3,239.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $59.11 / $96.29	Professional		$43.89	$59.11	$96.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.38 / $55.38 / $55.38	Professional		$55.38	$55.38	$55.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.16 / $830.89 / $1,902.44	Facility		$556.16	$830.89	$1,902.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $36.32 / $64.65	Professional		$9.11	$36.32	$64.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.89 / $63.30 / $69.65	Facility		$46.89	$63.30	$69.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $68.48 / $73.80	Professional		$57.53	$68.48	$73.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $75.81 / $113.48	Professional		$48.84	$75.81	$113.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $61.32 / $875.95 / $3,239.03	Facility		$61.32	$875.95	$3,239.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.03 / $67.15 / $130.68	Professional		$53.03	$67.15	$130.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $68.34 / $97.88	Professional		$54.90	$68.34	$97.88
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $77.19 / $103.13	Professional		$67.48	$77.19	$103.13