Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $208.50 / $2,878.00	Facility		$44.42	$208.50	$2,878.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $50.68 / $100.20	Professional		$28.35	$50.68	$100.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $47.66 / $78.92	Professional		$25.11	$47.66	$78.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.83 / $337.82 / $457.69	Facility		$289.83	$337.82	$457.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $22.68 / $43.20	Professional		$5.87	$22.68	$43.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $30.39 / $41.04	Facility		$27.63	$30.39	$41.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $57.87 / $86.26	Professional		$54.50	$57.87	$86.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $49.53 / $123.73	Professional		$25.98	$49.53	$123.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $55.43 / $272.73 / $4,933.00	Facility		$55.43	$272.73	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $55.43 / $94.78	Professional		$35.25	$55.43	$94.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $67.87 / $95.12	Professional		$54.90	$67.87	$95.12
United Facility/Professional Facility Modifier Low / Median / High Price $267.42 / $1,205.00 / $2,029.00	Facility		$267.42	$1,205.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.67 / $61.92 / $80.56	Professional		$50.67	$61.92	$80.56