Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.94 / $473.87 / $1,042.00	Facility		$88.94	$473.87	$1,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $82.23 / $176.95	Professional		$42.32	$82.23	$176.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.43 / $61.68 / $108.00	Professional		$52.43	$61.68	$108.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.45 / $571.98 / $1,319.03	Facility		$418.45	$571.98	$1,319.03
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $238.31 / $329.00 / $446.14	Facility	50	$238.31	$329.00	$446.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $59.47 / $122.35	Professional		$17.22	$59.47	$122.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $68.45 / $157.79	Facility		$57.05	$68.45	$157.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.94 / $129.86 / $193.45	Professional		$121.94	$129.86	$193.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $89.89 / $251.78	Professional		$50.36	$89.89	$251.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $88.23 / $429.64 / $1,294.86	Facility		$88.23	$429.64	$1,294.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.23 / $107.34 / $191.70	Professional		$54.23	$107.34	$191.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $134.77 / $188.01	Professional		$108.90	$134.77	$188.01
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.36 / $128.22 / $172.75	Professional		$84.36	$128.22	$172.75