Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.99 / $245.48 / $2,056.00	Facility		$62.99	$245.48	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $76.06 / $137.69	Professional		$51.70	$76.06	$137.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $56.75 / $69.16	Professional		$27.23	$56.75	$69.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.80 / $193.24 / $261.82	Facility		$165.80	$193.24	$261.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $55.62 / $73.19	Professional		$11.70	$55.62	$73.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.87 / $55.96 / $75.56	Facility		$50.87	$55.96	$75.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $68.84 / $102.70	Professional		$65.06	$68.84	$102.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $67.06 / $238.83	Professional		$45.83	$67.06	$238.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.51 / $230.75 / $2,056.00	Facility		$50.51	$230.75	$2,056.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $77.06 / $128.00	Professional		$58.17	$77.06	$128.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $53.15 / $80.42	Professional		$28.86	$53.15	$80.42
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 $60.09 / $80.12 / $104.65	Professional		$60.09	$80.12	$104.65