Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.13 / $377.69 / $2,056.00	Facility		$49.13	$377.69	$2,056.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,053.00 / $1,053.00 / $1,053.00	Facility	50	$1,053.00	$1,053.00	$1,053.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $54.50 / $106.61	Professional		$33.60	$54.50	$106.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $48.01 / $88.33	Professional		$34.61	$48.01	$88.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.68 / $460.89 / $624.42	Facility		$392.68	$460.89	$624.42
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $211.89 / $338.71 / $407.18	Facility	50	$211.89	$338.71	$407.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $43.42 / $67.84	Professional		$9.23	$43.42	$67.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $43.00 / $51.60	Facility		$34.29	$43.00	$51.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $63.39 / $98.45	Professional		$47.50	$63.39	$98.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $52.64 / $95.83	Professional		$35.82	$52.64	$95.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.01 / $461.92 / $2,056.00	Facility		$50.01	$461.92	$2,056.00
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $1,053.00 / $1,053.00 / $1,053.00	Facility	50	$1,053.00	$1,053.00	$1,053.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $58.81 / $94.27	Professional		$42.07	$58.81	$94.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $68.01 / $96.85	Professional		$54.68	$68.01	$96.85
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $63.06 / $88.94	Professional		$46.22	$63.06	$88.94