Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.06 / $226.50 / $523.91	Facility		$74.06	$226.50	$523.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $105.04 / $196.02	Professional		$63.07	$105.04	$196.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $52.67 / $90.29	Professional		$48.46	$52.67	$90.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.47 / $300.00 / $691.81	Facility		$219.47	$300.00	$691.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $73.95 / $97.49	Professional		$15.94	$73.95	$97.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.01 / $61.61 / $83.18	Facility		$56.01	$61.61	$83.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.16 / $116.84 / $173.29	Professional		$107.16	$116.84	$173.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $116.25 / $233.08	Professional		$51.20	$116.25	$233.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $232.40 / $569.75	Facility		$73.27	$232.40	$569.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.43 / $115.55 / $196.02	Professional		$70.43	$115.55	$196.02
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 $102.64 / $126.46 / $209.55	Professional		$102.64	$126.46	$209.55