Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.12 / $207.90 / $451.74	Facility		$83.12	$207.90	$451.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $107.81 / $205.95	Professional		$58.60	$107.81	$205.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $58.82 / $113.04	Professional		$45.96	$58.82	$113.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.72 / $217.81 / $306.44	Facility		$186.72	$217.81	$306.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $64.98 / $112.27	Professional		$14.14	$64.98	$112.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.12 / $58.43 / $78.90	Facility		$53.12	$58.43	$78.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.25 / $114.59 / $169.99	Professional		$105.25	$114.59	$169.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.07 / $115.98 / $225.00	Professional		$59.07	$115.98	$225.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $228.02 / $532.40	Facility		$69.48	$228.02	$532.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $121.46 / $196.92	Professional		$65.95	$121.46	$196.92
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 $103.19 / $131.16 / $205.89	Professional		$103.19	$131.16	$205.89