Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.41 / $265.86 / $2,056.00	Facility		$54.41	$265.86	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $92.68 / $174.34	Professional		$36.25	$92.68	$174.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $96.19 / $134.44	Professional		$31.88	$96.19	$134.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $146.62 / $347.49	Facility		$107.15	$146.62	$347.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $37.63 / $69.27	Professional		$7.92	$37.63	$69.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $38.65 / $52.20	Facility		$35.14	$38.65	$52.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $98.59 / $147.16	Professional		$93.54	$98.59	$147.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $82.38 / $187.89	Professional		$32.78	$82.38	$187.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $98.25 / $277.83 / $2,056.00	Facility		$98.25	$277.83	$2,056.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $98.25 / $169.29	Professional		$44.35	$98.25	$169.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.32 / $141.24	Professional		$81.79	$101.32	$141.24
United Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $1,209.00 / $2,029.00	Facility		$700.00	$1,209.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.24 / $112.72 / $156.02	Professional		$92.24	$112.72	$156.02