Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.11 / $157.54 / $4,933.00	Facility		$70.11	$157.54	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.67 / $98.97 / $204.80	Professional		$56.67	$98.97	$204.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $81.69 / $135.06	Professional		$56.16	$81.69	$135.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.76 / $215.35 / $291.76	Facility		$184.76	$215.35	$291.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $47.02 / $78.19	Professional		$10.68	$47.02	$78.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.24 / $61.86 / $83.53	Facility		$56.24	$61.86	$83.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $136.37 / $203.28	Professional		$128.44	$136.37	$203.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $110.97 / $287.58	Professional		$51.83	$110.97	$287.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $70.11 / $198.50 / $4,933.00	Facility		$70.11	$198.50	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $110.54 / $203.84	Professional		$70.09	$110.54	$203.84
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 / $1,209.00 / $2,029.00	Facility		$464.00	$1,209.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.73 / $144.00 / $191.52	Professional		$107.73	$144.00	$191.52