Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $83.62 / $2,878.00	Facility		$54.45	$83.62	$2,878.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $60.29 / $106.29	Professional		$38.17	$60.29	$106.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $65.58 / $92.12	Professional		$43.08	$65.58	$92.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $67.09 / $92.62	Facility		$56.87	$67.09	$92.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $58.66 / $104.92	Professional		$10.50	$58.66	$104.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $49.03 / $83.53	Facility		$44.80	$49.03	$83.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $73.88 / $138.13	Professional		$58.79	$73.88	$138.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $62.18 / $114.52	Professional		$39.90	$62.18	$114.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $296.95 / $4,933.00	Facility		$54.45	$296.95	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $69.00 / $106.51	Professional		$50.13	$69.00	$106.51
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 $60.11 / $70.81 / $97.37	Professional		$60.11	$70.81	$97.37