Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $142.78 / $2,076.48	Facility		$58.09	$142.78	$2,076.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $88.21 / $182.16	Professional		$46.24	$88.21	$182.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.21 / $133.21 / $133.21	Professional		$133.21	$133.21	$133.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.17 / $262.44 / $355.56	Facility		$225.17	$262.44	$355.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $54.02 / $85.35	Professional		$11.37	$54.02	$85.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.78 / $55.86 / $75.42	Facility		$50.78	$55.86	$75.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $114.93 / $171.47	Professional		$108.69	$114.93	$171.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $92.18 / $224.44	Professional		$47.28	$92.18	$224.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $163.76 / $4,933.00	Facility		$58.09	$163.76	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $100.00 / $161.99	Professional		$58.09	$100.00	$161.99
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 $72.33 / $109.71 / $146.37	Professional		$72.33	$109.71	$146.37