Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $237.99 / $2,056.00	Facility		$23.87	$237.99	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $41.66 / $85.23	Professional		$17.63	$41.66	$85.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $15.57 / $67.88	Professional		$15.57	$15.57	$67.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.82 / $120.04 / $276.83	Facility		$87.82	$120.04	$276.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $19.32 / $30.93	Professional		$4.05	$19.32	$30.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $17.62 / $71.34	Facility		$14.68	$17.62	$71.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $69.45 / $103.77	Professional		$66.23	$69.45	$103.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $45.66 / $98.04	Professional		$13.71	$45.66	$98.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $105.24 / $4,933.00	Facility		$41.54	$105.24	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $48.53 / $93.96	Professional		$18.94	$48.53	$93.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $67.24 / $94.72	Professional		$54.19	$67.24	$94.72
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 $48.18 / $57.82 / $83.18	Professional		$48.18	$57.82	$83.18