Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.17 / $223.16 / $2,099.46	Facility		$55.17	$223.16	$2,099.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $116.22 / $205.20	Professional		$45.50	$116.22	$205.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.48 / $120.51 / $167.96	Professional		$47.48	$120.51	$167.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.72 / $284.23 / $673.63	Facility		$207.72	$284.23	$673.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $46.73 / $111.33	Professional		$9.35	$46.73	$111.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.04 / $48.44 / $65.42	Facility		$44.04	$48.44	$65.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.27 / $123.17 / $183.67	Professional		$116.27	$123.17	$183.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $102.46 / $230.99	Professional		$40.85	$102.46	$230.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $285.56 / $2,878.00	Facility		$56.16	$285.56	$2,878.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $123.43 / $198.99	Professional		$55.17	$123.43	$198.99
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 $68.13 / $141.46 / $184.16	Professional		$68.13	$141.46	$184.16