Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.32 / $289.22 / $3,355.60	Facility		$56.32	$289.22	$3,355.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $60.70 / $126.84	Professional		$37.71	$60.70	$126.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $78.04 / $78.04	Professional		$54.96	$78.04	$78.04
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 Professional Modifier Low / Median / High Price $7.71 / $32.56 / $55.99	Professional		$7.71	$32.56	$55.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.01 / $48.93 / $58.71	Facility		$39.01	$48.93	$58.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $73.02 / $113.36	Professional		$54.74	$73.02	$113.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $59.89 / $110.33	Professional		$40.39	$59.89	$110.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $565.15 / $4,933.00	Facility		$57.33	$565.15	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $65.06 / $105.58	Professional		$46.71	$65.06	$105.58
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 $60.64 / $74.00 / $102.47	Professional		$60.64	$74.00	$102.47