Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.10 / $258.80 / $2,612.21	Facility		$88.10	$258.80	$2,612.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $88.10 / $153.62	Professional		$65.48	$88.10	$153.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $108.69 / $127.88	Professional		$71.70	$108.69	$127.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.26 / $220.59 / $298.86	Facility		$189.26	$220.59	$298.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $77.94 / $114.38	Professional		$15.56	$77.94	$114.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.34 / $78.47 / $105.97	Facility		$71.34	$78.47	$105.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $93.78 / $139.81	Professional		$88.36	$93.78	$139.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.01 / $83.61 / $332.35	Professional		$60.01	$83.61	$332.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $88.09 / $293.89 / $2,878.00	Facility		$88.09	$293.89	$2,878.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $97.91 / $145.22	Professional		$73.43	$97.91	$145.22
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 $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 $81.86 / $96.74 / $127.74	Professional		$81.86	$96.74	$127.74