Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.96 / $227.05 / $444.00	Facility		$89.96	$227.05	$444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $90.42 / $234.84	Professional		$49.47	$90.42	$234.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $51.92 / $122.45	Professional		$36.77	$51.92	$122.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.02 / $248.81 / $573.77	Facility		$182.02	$248.81	$573.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $56.31 / $90.09	Professional		$11.34	$56.31	$90.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.54 / $46.79 / $63.19	Facility		$42.54	$46.79	$63.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $95.56 / $141.88	Professional		$88.16	$95.56	$141.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $90.54 / $184.50	Professional		$38.54	$90.54	$184.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $67.81 / $234.51 / $514.90	Facility		$67.81	$234.51	$514.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $104.75 / $211.20	Professional		$53.82	$104.75	$211.20
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 $84.28 / $103.99 / $181.95	Professional		$84.28	$103.99	$181.95