Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $67.97 / $2,056.00	Facility		$30.19	$67.97	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $55.22 / $98.34	Professional		$24.82	$55.22	$98.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $49.67 / $70.17	Professional		$23.58	$49.67	$70.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.25 / $319.08 / $756.27	Facility		$237.25	$319.08	$756.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $18.64 / $37.31	Professional		$5.08	$18.64	$37.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $26.32 / $35.54	Facility		$23.93	$26.32	$35.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $59.69 / $88.90	Professional		$56.04	$59.69	$88.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $50.99 / $123.49	Professional		$22.18	$50.99	$123.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.19 / $175.64 / $4,933.00	Facility		$30.19	$175.64	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $60.83 / $89.72	Professional		$30.19	$60.83	$89.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $33.62 / $47.36	Professional		$27.09	$33.62	$47.36
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 $55.86 / $69.67 / $95.03	Professional		$55.86	$69.67	$95.03