Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $121.69 / $2,056.00	Facility		$20.04	$121.69	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $26.67 / $41.50	Professional		$13.42	$26.67	$41.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $32.46 / $32.46	Professional		$32.46	$32.46	$32.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $78.59 / $110.57	Facility		$67.09	$78.59	$110.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $11.09 / $18.07	Professional		$2.87	$11.09	$18.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $16.45 / $45.36	Facility		$13.71	$16.45	$45.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $33.39 / $49.75	Professional		$31.41	$33.39	$49.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $27.89 / $67.11	Professional		$12.49	$27.89	$67.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $121.69 / $4,933.00	Facility		$30.86	$121.69	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $30.86 / $44.83	Professional		$15.91	$30.86	$44.83
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 $30.20 / $35.79 / $46.40	Professional		$30.20	$35.79	$46.40